Do you need health insurance? / ¿Necesita seguro médico?

En Español

Important information about the open enrollment period!

What is open enrollment?

Open enrollment is an annual period of time where individuals or families can enroll in a health insurance plan through the Health Insurance Marketplace (

How long is open enrollment? When does it start?

Open enrollment runs from Nov. 1 – Dec. 15. During this time individuals or families can enroll in a health insurance plan. You may not enroll on a plan after the deadline without a qualifying event or circumstance (losing other health insurance, getting married, having a baby…).

Who is eligible?
  • Anyone who is not eligible for OHP and your employer does not offer health insurance
  • Any immigrant with CAWEM coverage without access to total benefits under OHP due to residency guidelines.
Who is not eligible?
  • If you or a family member are offered health insurance from your employer
  • If you are eligible for Oregon Health Plan (OHP) or Medicare benefits
  • If you do not have proof of legal status (If you do not have proof of legal status, there are still options for you, call to speak to an enrollment specialist)
How can I enroll in health insurance during open enrollment?

Mosaic Medicals enrollment specialists can assist with this process by phone. COMPLETELY FREE.

I don’t have the financial resources to buy health insurance, what are my options?

Enrollment specialists can refer you to financial assistance programs to ensure that everyone has access to medical services. If you fear going to the doctor for financial reasons or immigration status, call to find out your options.

Are the Open Enrollment Period and OHP the same?

No. The Open Enrollment Period is an annual event where those who are ineligible for OHP can purchase individual plans through the Health Insurance Marketplace. The Oregon Health Plan (OHP) is the State of Oregon Medicaid program. It is available all year round. Any minor is eligible for OHP regardless of legal status.

Remember, Open Enrollment closes December 15, 2020! If you have additional questions or would like to review your options call 541-647-2717.

We would be happy to speak with you!


¡Información importante sobre el Periodo de inscripción abierta!

¿Qué es el Periodo de inscripción abierta? 

El Periodo de inscripción abierta es un evento anual donde los individuos o las familias pueden inscribirse a un seguro médico a través del Mercado de seguros médicos (

¿Cuánto dura el Periodo de inscripción abierta? ¿Cuándo empieza?

El Periodo de inscripción abierta corre desde el 1º de noviembre, 2020 – 15 de diciembre, 2020. No podrá inscribirse a un plan después de la fecha límite además que tenga una circunstancia o evento que califique fuera de este periodo (perdida de seguro medico, casarse, nacer un niño…)..

¿Quién es elegible?
  • Cualquier persona que no califique para el Plan de Salud de Oregón (OHP) y su empleador no ofrece seguro médico.
  • Cualquier inmigrante con la cobertura CAWEM sin acceso al beneficio total del Plan de Salud de Oregón por temas de residencia.
¿Quién no es elegible?
  • Si usted o un miembro de su familia es ofrecido seguro médico de parte de su empleador
  • Si es elegible para beneficios de el Plan de Salud de Oregón (OHP) o Medicare
  • Si no tiene comprobante de su estatus legal (Si no tiene comprobante del estatus legal, aún hay opciones para usted. Hable con un especialista de inscripción.)
¿Cómo puedo solicitar un seguro médico durante este Periodo de inscripción abierta? 

Especialistas de inscripción en Mosaic Medical pueden asistir con este proceso completamente GRATIS por teléfono.

No tengo los recursos financieros para comprar un seguro médico, ¿cuáles son mis opciones?

Los especialistas de inscripción pueden referir a programas de ayuda financiera para asegurar que toda persona tenga acceso a servicios médicos. Si usted tema ir al médico por cuestiones financieras o del estatus migratorio, llame para conocer sus opciones.

¿El Periodo de inscripción abierta y OHP es lo mismo?

No. El Periodo de inscripción abierta es un evento anual donde las personas no elegibles para OHP pueden comprar planes individuales a través del Mercado de seguros médicos. El Plan de Salud de Oregón (OHP) es el programa de Medicaid del estado de Oregón. Se puede inscribir en todo momento para el OHP. Cualquier menor de edad es elegible para OHP sin importar el estatus legal.

Recuerde, el Periodo de inscripción abierta para el Mercado cierra el 15 de diciembre, 2020. Si tiene preguntas adicionales o quisiera ver sus opciones, llame al 541-647-2717.

¡Nos encantaría hablar con usted!


Media Release: Transformational Grant Received for New Madras Clinic


Contact: Bridget McGinn, Communications Manager

Tel: 541.408.3327; Email:

Set to open in spring 2022, new clinic will increase access to primary care services

Bend, Oregon, Nov. 9, 2020 – Mosaic Medical, Central Oregon’s largest community health center, was one of 165 Community Health Centers across the nation to recently receive a grant award through the Capital Assistance for Disaster Response and Recovery Efforts (CADRE) opportunity from the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA).

The grant award of $954,386 will be used to support the construction of a new Mosaic clinic that will be co-located with the Jefferson County Public Health Department on the St. Charles Madras campus. The intention is to create the foundation of a community health and wellness campus in Madras; the new building is set to open in spring 2022.

“The CADRE funding will ensure that Mosaic Medical is able to increase access to high quality medical, dental, behavioral health and pharmacy services for everyone while increasing the community’s capacity to respond to and recover from future emergencies,” said Elaine Knobbs-Seasholtz, Director of Strategy and Development at Mosaic.

The purpose of the CADRE supplemental funding is to provide one-time support for health centers in areas that were impacted by emergencies/disasters in 2018-2019. Madras was impacted by a severe winter storm in 2018 and qualified for these funds as declared by the Federal Emergency Management Agency.

For more information about supporting the new Mosaic clinic in Madras please contact Elaine Knobbs-Seasholtz.

About Mosaic Medical:

Mosaic Medical is a nonprofit community health center that serves Central Oregonians, regardless of life circumstances. Through a network of 15 clinics, we offer integrated health services that address each patient’s medical, dental, behavioral health, nutrition and medication needs. Our care is never influenced by how much money our patients make, what language they speak or the status of their insurance coverage. Mosaic Medical provides quality care for all.



Halloween: Tips for a safe (but still spooky and fun) holiday

En español

Grid with risk ratings for Halloween activitiesHalloween is on the horizon! As we approach the spooktacular holiday it is important to remember that we are currently seeing a steady rise in COVID-19 cases. The choices we make about how we will celebrate this holiday will have an impact. Our decisions will affect not only ourselves and our families, but our neighbors, our communities and the most vulnerable people among us. But that doesn’t mean that Halloween can’t still be spooky and fun!

Avoid high-risk activities

This Halloween, the Oregon Health Authority is recommending that Oregonians avoid traditional door-to-door trick or treating.  “Trunk or Treat” events are also not recommended, because these are high risk activities for crowding among people outside your household. This recommendation aligns with the Centers for Disease Control and Prevention (CDC), which also recommends families avoid traditional trick or treating. Attending crowded costume parties held indoors, going to an indoor haunted house and going on hayrides or tractor rides with people who are not in your household are also considered high-risk activities and should be avoided.

Choose safer, low-risk activities

Some ideas for safer, low-risk activities include:

      • Hold an online costume contest
      • Have a Halloween movie night with people you live with
      • Carve pumpkins with people in your household
      • Go all-out to decorate your house or apartment
      • Tour your neighborhood to look at decorated houses with members of your household
      • Have a scavenger hunt trick-or-treat search with your household members in or around your home
      • Have a scavenger hunt with a list of Halloween-theme items to look for in your neighborhood while keeping a safe distance from others

“If you dress up in a costume, be careful to plan a costume that allows you to wear a face covering,” said State Health Officer Dr. Dean Sidelinger. “Halloween masks will not protect you or others from coronavirus. Wearing a cloth or disposable face mask that fits snugly and covers your mouth and nose is still required while wearing a costume, no matter how scary or silly your costume is.”

Continue to follow safety guidelines

As you celebrate Halloween, don’t forget to continue to follow the guidelines to keep everyone safe:

        • Maintain social distancing and limit close contact.
        • Wear masks.
        • Wash hands frequently.
Thanks for doing your part to slow the spread of COVID-19 this Halloween!

Other holidays are also just around the bend, like Día de los Muertos! For all holidays your family celebrates, please keep social distancing and wear masks when in public.


El Halloween: Consejos para una celebración segura, pero todavía espeluznante y divertido


COVID-19 risks for Halloween¡Ya viene el Halloween! A medida que nos acercamos al festival divertido, es importante recordar que estamos viendo más y más casos del COVID-19. Las decisiones que tomemos sobre cómo celebrar esta festividad tendrán un impacto. Nuestras decisiones no solo nos afectarán a nosotros y nuestras familias, sino también a nuestros vecinos, nuestras comunidades y la gente más delicada. ¡Pero no quiere decir que el Halloween no puede ser “espeluznante” y divertido!

Eviten actividades de alto riesgo

Este año, la Autoridad de Salud de Oregón recomienda que nuestros ciudadanos no vayan a pedir dulces de puerta en puerta.  Tampoco se recomiendan eventos donde la gente se reúne para distribuir dulces porque tales eventos son de alto riesgo entre personas que no viven en su casa. Esta recomendación es conforme con las de los Centros de Control y Prevención de Enfermedades (CDC en inglés), que también recomienda que no se participe en el tradicional “Trick or Treat.” También se recomienda evitar otras actividades de alto riesgo tal como fiestas de disfraz con mucha gente, ir a casas embrujadas y montar en carruajes o tractor con personas que no viven en su casa.

Busquen actividades de bajo riesgo

Ideas para actividades seguras, de bajo riesgo:

      • Un concurso de disfraz en línea
      • Noche de películas de Halloween con los de su casa
      • Hagan linternas de calabaza con los de su casa
      • Decoren su apartamento o casa de arriba a abajo
      • Hagan un tour del vecindario con los de su casa para ver las decoraciones de otras casas
      • Hagan una búsqueda del tesoro de dulces de Halloween con su familia adentro o fuera de su casa
      • Hagan una búsqueda de tema Halloween en su vecindario, con una lista de cosas para encontrar, pero mantengan distancia de otros.

“Si se disfraza, tenga cuidado de planear un disfraz que le permita usar una mascarilla de seguridad,” dice el oficial de salud Dr. Dean Sidelinger. “Las máscaras de Halloween no lo protegerán a usted ni a otras personas del coronavirus. Aún se requiere usar una mascarilla de tela o desechable que se ajuste cómodamente y que cubra su boca y nariz mientras usa un disfraz, sin importar que tan aterrador o chistoso sea su disfraz.”

Mientras celebran el Halloween, no olviden seguir las pautas para mantener a todos seguros:

              •  Mantener el distanciamiento social y limitar el contacto cercano.
              • Usar mascarillas.
              • Lavar las manos con frecuencia.

¡Gracias por hacer su parte para frenar la propagación del COVID-19 este Halloween!

Otras fiestas se acercan también, ¡incluso el Día de los Muertos! Para todas las fiestas que celebra su familia, por favor mantengan la distancia de otros y usen mascarillas cuando están en espacios públicos. 



Hotline for Help Handling Acute Distress

red phone illustrating story about behavioral health hotline

En español

Mosaic Medical created a Behavioral Health Hotline early on in the COVID-19 pandemic as a way for Mosaic Medical patients who are experiencing acute distress to have immediate access to a Mosaic Behavioral Health provider. If an individual is not a Mosaic patient, but would like to establish care with Mosaic and has a behavioral health problem, they may also call the Behavioral Health hotline to establish care.  The Mosaic Behavioral Health Hotline is also available to individuals who speak Spanish.

This is a “warm line” ensuring that all callers will be connected to support regardless of the time a call comes in. If a caller reaches out after hours or when all lines are busy they will automatically be transferred to the National Disaster Distress Hotline (1-800-985-5990).

What is the phone number for the BH Hotline?


What are the hours of operation?

Monday – Friday, 8 a.m. – 5 p.m.

Is this a crisis line?

The Mosaic Behavioral Health hotline is meant for Mosaic patients who are in acute distress for any reason (not just COVID-19) and in need of immediate access to a Mosaic Behavioral Health provider.

This line is not a psychiatric crisis line.  If an individual is experiencing an acute psychiatric crisis, such as thoughts of suicide, or acute psychosis they should call established local crisis numbers listed below or go to the Deschutes County Crisis Stabilization Center (63311 Jamison Street, Bend, OR 97703).

  • Deschutes County 24-hour crisis line: 1-800-875-7364
  • Jefferson County 24-hour crisis line: 541-475-6575
  • Crook County 24-hour crisis line: 541-323-5330, option “1”
  • Youth Line (21 and younger) 24-hour crisis line: 1-877-968-8491

Línea directa para ayuda con angustia aguda

Mosaic Medical creó una línea directa de salud conductual al principio de la pandemia COVID-19. Es una manera para que los pacientes de Mosaic Medical que sienten angustia aguda tengan acceso inmediato a un proveedor de salud conductual de Mosaic. Si una persona no es un paciente de Mosaic, pero le gustaría establecer atención médica en Mosaic y tiene un problema de salud conductual, también puede llamar a la línea directa de salud conductual para establecer cuidado médico.  La línea directa de salud conductual de Mosaic también está disponible para las personas que hablan español.

Esta línea directa garantiza que todos los que llamen recibirán apoyo sin importar la hora en la que haga la llamada. Si una persona llamara fuera del horario o cuando todas las líneas están ocupadas, se transfiere de forma automática a la Línea de ayuda para los afectados por catástrofes (1-800-985-5990, para español presione “2”).

¿Cuál es el número de teléfono de la línea directa de salud conductual?


¿Cuáles son las horas hábiles?

Lunes – viernes, 8 a.m. – 5 p.m.

¿Es una línea de crisis?

La línea directa de salud conductual de Mosaic está destinada para pacientes de Mosaic que están en apuros agudos por cualquier razón (no solo COVID-19) y que necesitan acceso inmediato a un proveedor de salud conductual de Mosaic.

Esta línea no es una línea de crisis psiquiátrica.  Si una persona tiene una crisis psiquiátrica aguda, como pensamientos de suicidio, o psicosis aguda, debe llamar a los números de crisis locales establecidos o ir al (Deschutes County Stabilization Center, 63311 Jamison Street, Bend, OR 97703).

  • Línea de crisis las 24 horas del condado de Deschutes: 1-800-875-7364, para español presione el “1”
  • Línea de crisis las 24 horas del condado de Jefferson: 541-475-6575, se habla español
  • Línea de crisis las 24 horas del condado de Crook: 541-323-5330, presione el “1”, solo en inglés
  • Línea Juvenil (21 años y menores) de crisis de las 24 horas: 1-877-968-8491 se habla español


Community Impact Report Released

Mosaic Medical’s annual Community Impact Report is now available. In the report you will meet Brad, Paula and Elmer—three Mosaic Medical patients who benefited from the high-quality healthcare that our team members provide day in and day out.

Mosaic Medical patients in the Community Impact Report

You will also see a summary of Mosaic Medical’s impact over the 2019-2020 fiscal year and learn more about the staff, board members, patient advisors, community partners and donors that make our work possible.

Read the report online

Download a PDF

This year has been so challenging for so many people in so many ways. Mosaic Medical is honored to be a constant in the lives of our patients and community, especially during uncertain times.


The Flu and You: Influenza FAQ

Guest blog post addressing important questions about flu by Dr. Albert Noyes, PharmD, Director of Pharmacy Services, Mosaic Medical

Reminder to get your flu shotEn español

As healthcare providers, every year we prepare for the arrival of “flu season” in the fall and winter. This year, due to the COVID-19 pandemic, we are especially encouraging our patients and the public to be sure to plan for getting an influenza vaccine.

Influenza (flu) and COVID-19 are caused by different viruses, but both are expected to spread in the coming months according to the Centers for Disease Control and Prevention. The CDC is recommending annual influenza vaccinations for everyone six months and older.

Avoiding the flu during the COVID-19 pandemic is vital for our community. Getting vaccine this year will not only reduce your risk of getting sick, but will help us to conserve potentially scarce healthcare resources.

To help inform our patients and the public, we have created the following Frequently Asked Questions based on information from the CDC:

Q: What will the influenza vaccine protect me from?

Each year the vaccine is reviewed and updated to provide protection against the three or four flu viruses that are expected to be most common.  At Mosaic, we will be using a high-quality, four-strain coverage vaccine.  For our patients 65 years of age and over, we have the CDC-recommended adjuvant vaccine, formulated to provide better immunity against the virus in older adults.

Q: When should I get my flu vaccine?

The CDC recommends that September and October are good months to get vaccinated. As long as the flu season is still going strong, vaccinations will continue, even past January.  At Mosaic, the influenza vaccine will be available to patients starting Sept. 21.  Patients may call Mosaic at 541-383-3005 to schedule their flu shot beginning Sept. 7. 

Q: Who should get a flu vaccine?

The vaccine is recommended for everyone six months of age and older. It is especially important for people at high risk for complications (age 65 or older, pregnant women, young children, people with asthma, diabetes, heart disease and other illnesses) to get a flu vaccination this year, as they seem to also be at a higher risk from COVID-19. 

Q: How will vaccines be given in a pandemic?

There may be changes in how vaccines are administered due to the pandemic. Check with your healthcare provider for more information. At Mosaic we have established outdoor Drive-Up Care locations in Bend, Redmond and Prineville to be able to provide safe, convenient vaccinations and other services for our patients.

Q:Will there be a shortage of flu vaccine?

A record number of influenza vaccine doses are being produced this year and manufacturers are not reporting any significant delays.

Q: Will the flu vaccine protect me from COVID-19?

The influenza vaccine will not protect you from the coronavirus (SARS-C0V-2). Influenza and COVID-19 are caused by different viruses, although they are both contagious respiratory illnesses.

Q: Can I have both flu and COVID-19 at the same time?

It is possible to have influenza and other respiratory illnesses, including COVID-19, at the same time. And both illnesses can have similar symptoms, making it hard to tell the difference without testing.

Q: Which is more dangerous, flu or COVID-19?

Both illnesses can be serious and both can result in hospitalization or death. According to the CDC, at this time it does appear that COVID-19 is more deadly than seasonal flu. However, there is much that is not known about this new coronavirus.

Albert Noyes, PharmD, CDCES, BC-ADM is the Director of Pharmacy Services at Mosaic Medical. In addition to his pharmacy credentials he is also a Certified Diabetes Care and Education Specialist and board certified in Advanced Diabetes Management. He is committed to helping all patients understand their conditions, treatment options and to feel empowered to make informed decisions about their health. Outside of work Albert enjoys spending time with his wife and five children, farming, gardening and fishing. Learn more at and

Preguntas frecuentes sobre la gripe

Publicación de blog que aborda preguntas importantes sobre la influenza por el Dr. Albert Noyes, PharmD, director de servicios de farmacia de Mosaic Medical

Como proveedores de atención médica, cada año nos preparamos para la llegada de la “temporada de influenza” en otoño e invierno. Este año, debido a la pandemia COVID-19, estamos animando aún más a nuestros pacientes y al público a que se aseguren de ponerse la vacuna contra la influenza.

La influenza (gripe) y el COVID-19 son causados por diferentes virus, pero se espera que ambos se propaguen en los próximos meses según la CDC (Centros para el Control y la Prevención de Enfermedades). La CDC recomienda ponerse la vacuna contra la influenza cada año para todos los mayores de seis meses.

Es muy importante para nuestra comunidad evitar la influenza durante la pandemia COVID-19. Al ponerse la vacuna este año no sólo reducirá su riesgo de enfermarse, sino que nos ayudará a conservar recursos de atención médica que probablemente estén escasos.

Para ayudar a informar a nuestros pacientes y al público, hemos creado las siguientes preguntas más frecuentes basadas en la información de la CDC:

P: ¿De qué me protegerá la vacuna contra la influenza?

Cada año, la vacuna se revisa y actualiza para dar protección contra los tres o cuatro virus de la influenza que se espera que sean más comunes.  En Mosaic, usaremos una vacuna de alta calidad que cubre cuatro cepas.  Para nuestros pacientes de 65 años o más, tenemos la vacuna adyuvante recomendada por la CDC, formulada para brindar una mejor inmunidad contra el virus en adultos mayores.

P: ¿Cuándo me debo vacunar contra la influenza?

La CDC recomienda que septiembre y octubre sean buenos meses para vacunarse. Pero mientras la temporada de influenza siga estando fuerte, las vacunas seguirán disponibles, incluso pasando enero.  En Mosaic, la vacuna contra la influenza estará disponible para los pacientes a partir del 21 de septiembre.  Los pacientes pueden llamar a Mosaic al 541-383-3005 para programar su vacuna contra la influenza a partir del 7 de septiembre.

P: ¿Quién debe vacunarse contra la influenza?

La vacuna se recomienda para todas las personas de seis meses de edad o mayores. Es aún más importante que las personas con alto riesgo de complicaciones (de 65 años o más, mujeres embarazadas, niños pequeños, personas con asma, diabetes, enfermedades cardíacas y otras enfermedades) se les ponga una vacuna contra la influenza este año, ya que también parecen tener un mayor riesgo de COVID-19.

P: ¿Cómo se administrarán las vacunas en una pandemia?

Puede haber cambios en la forma en que se administran las vacunas debido a la pandemia. Consulte con su proveedor médico para obtener más información. En Mosaic hemos establecido ubicaciones al aire libre llamadas Atención desde su carro en Bend, Redmond y Prineville para poder poner las vacunas de una forma segura y conveniente igual que otros servicios para nuestros pacientes.

P: ¿Habrá escasez de vacunas contra la influenza?

Este año se está produciendo un número récord de dosis de vacunas contra la influenza y los fabricantes no están notificando retrasos mayores.

P: ¿La vacuna contra la influenza me protegerá de COVID-19?

La vacuna contra la influenza no le protegerá del coronavirus (SARS-C0V-2). La influenza y el COVID-19 son causados por diferentes virus, aunque las dos son enfermedades respiratorias contagiosas.

P: ¿Puedo tener influenza y COVID-19 al mismo tiempo?

Es posible tener influenza y otras enfermedades respiratorias, incluyendo COVID-19, al mismo tiempo. Y ambas enfermedades pueden tener síntomas similares, lo que dificulta saber la diferencia sin realizar pruebas.

P: ¿Qué es más peligroso, influenza o COVID-19?

Ambas enfermedades pueden ser graves, y ambas pueden resultar en hospitalización o muerte. Según la CDC, en este momento parece que COVID-19 es más mortal que la influenza de temporada. Sin embargo, hay mucho que no se sabe sobre este nuevo coronavirus.

Albert Noyes, PharmD, CDCES, BC-ADM es el director de servicios de farmacia en Mosaic Medical. Además de sus credenciales en farmacia, también es un especialista certificado en cuidado y educación de la diabetes y certificado por la Junta en el manejo avanzado de la diabetes. Él se compromete a ayudar a todos los pacientes a entender sus condiciones, opciones de tratamiento y a sentirse capacitados para tomar decisiones informadas sobre su salud. Fuera del trabajo Albert disfruta pasar tiempo con su esposa y cinco hijos, la agricultura, la jardinería y la pesca. Obtenga más información en y



Media Release: Mosaic Welcomes New Mobile Community Clinic


Contact: Bridget McGinn, Communications Manager

Tel: 541.408.3327; Email:

Support from donors makes it possible to provide state-of-the-art care on the go

Bend, Oregon, Aug. 12, 2020 – Mosaic Medical is pleased to announce that our new Mobile Community Clinic (MCC) has arrived in Central Oregon. The new clinic and will begin traveling around the region to serve patients this week.

Thanks to the generous support of donors, Mosaic’s mobile clinic program is entering a new era with a state-of-the-art clinic. Our new clinic, a 2019 Ford Winnebago, was custom designed and manufactured by ADI Mobile Health. The company, based in Tualatin, OR has nearly 30 years of experience building mobile health clinics for clients worldwide.

New amenities include all-wheel drive, wheelchair accessibility

The MCC is now able to safely travel across the region, even during inclement weather, to reach those who need medical care most. New amenities on the clinic include functional air conditioning and heat, all-wheel drive, expanded exam room space, wheelchair accessibility and increased refrigeration space for vaccines. Mosaic is now able to provide enhanced wrap around medical services to better serve the increasing number of community members who are experiencing homelessness in Deschutes, Crook and Jefferson Counties.

“As the only organization offering mobile medical care to those experiencing homelessness, we needed to have a reliable mobile unit. We were limited on the type of services offered and when we were visiting partners due to the age of our previous clinic,” said Carla Stevens, Mosaic’s Chief Operating Officer. “We are so excited about the possibilities this new clinic provides to continue improving the health and well-being of the individuals and communities we serve through our mobile clinic program.”

Fundraising helped to secure the new clinic

Last November we asked the community to help us raise the final funds needed to purchase the new RV. A positive response helped us to secure the new mobile clinic. We would like to give a special thank you to the following supporters who made this dream a reality:

Collins Foundation

Oregon Community Foundation

Cow Creek Umpqua Indian Foundation

First Interstate Bank Foundation

Central Oregon Realtors Association

Over 20 individual community members

The new clinic replaces a 27-year-old converted RV that could no longer be relied upon to safely travel the many miles required around the region to reach patients. Inclement winter weather often forced the cancellation of visits during the time of year when access to care is needed the most.

The origins of the Mobile Community Clinic

The origins of the mobile clinic date back many years, when the team at Central Oregon Veterans Outreach (COVO) conceived of an effort to take a mobile health clinic out to homeless camps in the area. In 2013 they donated their mobile van to Mosaic Medical, and the Mobile Community Clinic (MCC) program came to life.

Today the MCC travels throughout Deschutes County, providing quality, accessible healthcare to more than 700 individuals experiencing homelessness and at-risk youth. Those experiencing homelessness have an increased risk for bronchitis, pneumonia, skin damage, frostbite and other issues. And due to a lack of transportation, many people are not able to make it to one of the other 14 regional Mosaic clinics for care, so access to healthcare on the mobile clinic is critical.

The MCC offers care on a walk-in basis at locations where people are already accessing services, such as cold weather shelters and food banks. The mobile clinic weekly schedule includes stops at multiple locations in Bend, Redmond and Madras.

About Mosaic Medical:

Mosaic Medical is a nonprofit community health center that serves Central Oregonians, regardless of life circumstances. Through a network of 15 clinics, we offer integrated health services that address each patient’s medical, dental, behavioral health, nutrition and medication needs. Our care is never influenced by how much money our patients make, what language they speak or the status of their insurance coverage. Mosaic Medical provides quality care for all.




Media Release: Grant from OHSU Knight Cancer Institute supports health screenings at home


Contact: Bridget McGinn, Communications Manager

Tel: 541.408.3327; Email:

Grant supports health screenings at home during COVID-19

Bend, Oregon, July 16, 2020 – Mosaic Medical, a nonprofit community health center providing quality care for all in Bend, Redmond, Prineville and Madras, was awarded $50,000 from the OHSU Knight Cancer Institute Community Partnership Program. The funds will be used to help patients keep up with health screenings at home during COVID-19.

Mosaic Medical plans to provide a concierge colon cancer screening service for our patients. Part of the program includes screening reminders sent via text message, mailing test kits directly to patients and virtual lunch and learns. By investing in these new methods, we hope to educate our patients and the community on the importance of keeping up with health screenings at home while in quarantine.

“We are grateful for the generous support from the OHSU Knight Cancer Institute Community Partnership Program to enhance our colon screening program across Central Oregon,” said Elaine Knobbs-Seasholtz, Mosaic’s Director of Strategy and Development. “Regular screenings is one of the most powerful ways for detecting and preventing colon cancer. This funding will make the screening process more convenient and easy for our patients.”

The OHSU Knight Cancer Institute Community Partnership Program is designed to build sustainable collaborations with Oregon communities by providing grants and other resources to foster development of community-identified cancer prevention, early detection, treatment and survivorship projects. The OHSU Knight Cancer Institute has made a decade-long commitment to invest in this program to develop robust, sustainable programs that benefit the health of all Oregonians. Additional information about the program is available on the OHSU Knight Cancer Institute’s website.

About Mosaic Medical:

Mosaic Medical is a nonprofit community health center that serves all Central Oregonians, regardless of life circumstances. Through a network of 15 clinics, we offer integrated health services that address each patient’s medical, dental, behavioral health, nutrition and medication needs. Our care is never influenced by how much money our patients make, what language they speak or the status of their insurance coverage. Mosaic Medical provides quality care for all. For more information visit our website.



Media Release: Mosaic Welcomes New Chief Operations Officer


Contact: Bridget McGinn, Communications Manager

Tel: 541.408.3327; Email:

Carla Stevens, RN, MS brings a passion for community health to her new role

Bend, Oregon, July 17, 2020

Mosaic Medical, a nonprofit community health center providing quality care for all in Bend, Redmond, Prineville and Madras, recently welcomed Carla Stevens, RN, MS as Chief Operations Officer.

“I’m incredibly excited to join a team focused on providing care to the most vulnerable in our community, while having such high quality of care that anyone would want to join as a patient,” said Stevens. “I believe Mosaic is well-positioned to support community health for all, and I look forward to being a part of this mission.”

Stevens began her career in nursing prior to moving into healthcare administration and operational leadership roles. Over the course of her 30-year career she has served in positions in ambulatory practice, provider relations, quality programs, system operations and process improvement. Stevens has a Master of Science in Management, a Bachelor of Science in Nursing and Business Administration and extensive training and practice in leadership development and process improvement. She was most recently with St. Charles Health System, and was previously with Presbyterian Health Services.

“We are excited to welcome Carla to Mosaic,” said Megan Haase, FNP and Mosaic Medical CEO. “She brings with her a passion for community health, and she is a natural fit with our mission to improve the health and well-being of the individuals, families and communities we serve.”

About Mosaic Medical:

Mosaic Medical is a nonprofit community health center that serves all Central Oregonians, regardless of life circumstances. Through a network of 15 clinics, we offer integrated health services that address each patient’s medical, dental, behavioral health, nutrition and medication needs. Our care is never influenced by how much money our patients make, what language they speak or the status of their insurance coverage. Mosaic Medical provides quality care for all.



High blood pressure: Your questions answered

Dr. Jeff Bulkley recommends an active lifestyle to help prevent high blood pressure.

Dr. Jeff Bulkley recommends an active lifestyle to help prevent high blood pressure. In this photo he and his family enjoy a scenic hike together.

Common questions related to high blood pressure are addressed in this guest blog post by Jeff Bulkley, DO. Dr. Bulkley is an Internal Medicine physician at Mosaic Medical’s Complex Care Center.

Q: What is high blood pressure?

Our arteries carry blood, rich in oxygen and nutrients, from the heart to other organs and parts of the body. The pressure on the inner walls of the body’s arteries is referred to as “blood pressure.”

An individual’s blood pressure is defined by two measurements, the systolic (measuring the pressure when the heart contracts) and the diastolic (measuring pressure between heart beats). Blood pressure is reported as the systolic pressure over diastolic pressure.

According to the American Heart Association and American College of Cardiology, “high blood pressure” is defined as a blood pressure measurement greater than 130/80.

Q: Are high blood pressure and hypertension the same thing?

Yes, hypertension is the medical term.

Q: What are the symptoms of high blood pressure?

High blood pressure is often called the “silent killer” as it doesn’t usually cause symptoms by itself. However, when a patient develops complications, symptoms can appear.

For example, if hypertension leads to heart failure–which is a common scenario–a patient can develop symptoms of shortness of breath, chest pain and swelling in the legs.

Q: Is this disease common?

Yes, it is estimated that over 45% of Americans over the age of 20 suffer from hypertension. And many of these people don’t know they even have it. It can run in families, or some people may have it with no family history of the disease. Hypertension occurs at higher rates in blacks, Asians and Hispanic Americans. And risk for the disease increases with age.

If left untreated, hypertension increases the strain on the heart and arteries, causing organ damage. Additionally, it increases the risk of heart failure, heart attack, stroke, kidney failure, vision problems and sexual dysfunction.

Other medical problems, such as diabetes and high cholesterol as well as tobacco use, can increase your risk for complications when combined with hypertension.

Q: How can I find out what my blood pressure level is?

You can find out what your blood pressure is by using a validated blood pressure cuff to measure it. Your doctor’s office or local pharmacy will have appropriate cuffs to take your measurement. It is important to check your blood pressure regularly. It can change and increase over time, depending on your environment and as you age.

Q: What can be done to prevent this disease?

The best way to prevent hypertension is to eat healthy and exercise regularly.

  • Follow a diet rich in plant-based foods, and eat plenty of vegetables, fruits, nuts and legumes.
  • Limit dark meats, simple sugars and processed foods.
  • Watch the amount of salt (sodium) that you consume, aim for less than 2000 mg of sodium daily.
  • Regular exercise is important. Aim for getting your heart rate up for at least 30 minutes on most days, at least 150 minutes per week.
Q: How can this disease be treated?

The best first step in treating hypertension is to adopt a healthy diet and incorporate regular exercise if you haven’t done so already. In addition, there are a number of relatively safe medications that can be taken regularly to get your blood pressure into a safer range. Remember, treating your high blood pressure with medication (if your doctor recommends it) can help prolong your life and prevent serious medical problems.

Q: Are my blood pressure medications safe to continue taking if I am at risk for or have COVID-19?

Yes! There have been multiple studies recently suggesting that ACE inhibitors and ARBs (2 common categories of blood pressure medications that were originally thought to be unsafe in patients infected with the novel coronavirus) are safe and do not impose additional risk to those with SARS-COV2, the novel coronavirus that causes COVID-19.

Q: Where can I find more information?

Please reach out to your healthcare provider if you have questions or concerns about high blood pressure. Some online resources you can visit include: