Health Plans

Providence Health Plans

2017 Providence Health Plans in Oregon

Exclusive Provider Organization (EPO) plans
Qualified Health Savings Account (HSA) plans

Providence Health Plan List

Plan Name Plan Type Summary Networks Rates Application
Available in: Clackamas, Multnomah & Washington counties
Connect 2500 Silver EPO SBC Provider Search Click for Rates Download app
Connect 7150 Bronze EPO SBC Provider Search Click for Rates Download app
Available in: Clackamas, Hood River, Marion, Multnomah, Polk, Washington & Yamhill counties
Choice 2500 Silver EPO SBC Provider Search Click for Rates Download app
Choice 7150 Bronze EPO SBC Provider Search Click for Rates Download app
Available in: Benton, Clackamas, Clatsop, Columbia, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Washington, or Yamhill counties
HSA Qualified 2800 Silver EPO-HSA SBC Provider Search Click for Rates Download app
HSA Qualified 6000 Bronze EPO-HSA SBC Provider Search Click for Rates Download app
Available in: Benton, Clackamas, Clatsop, Columbia, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Washington, or Yamhill counties
Balance 2500 Silver EPO SBC Provider Search Click for Rates Download app
Balance 7150 Bronze EPO SBC Provider Search Click for Rates Download app
Available in: Benton, Clackamas, Clatsop, Columbia, Coos, Curry, Deschutes, Gilliam, Hood River, Klamath, Lake, Lane, Lincoln, Linn, Marion, Morrow, Multnomah, Polk, Sherman, Tillamook, Wasco, Washington, Wheeler or Yamhill counties
Oregon Std. Gold EPO SBC Provider Search Click for Rates Download app
Oregon Std. Silver EPO SBC Provider Search Click for Rates Download app
Oregon Std. Bronze EPO SBC Provider Search Click for Rates Download app

10 Essential Benefits

Healthcare reform says all health plans must include ten essential benefits. The basic benefits include:

  1. Outpatient Care - the kind you get without being admitted to a hospital
  2. Emergency Services - for issues that could lead to death or disable you if you do not treat them.
  3. Inpatient Care - covers room and board, tests, drugs, and care from doctors and nurses while admitted, which may include organ and tissue transplants, and hospice and respite care.
  4. Maternity and Newborn Care - care before and after your baby is born
  5. Mental Health and Substance Use Disorder Services - this includes behavioral health treatment, counseling, and psychotherapy.
  6. Prescription Drugs - covers retail, mail order, and specialty drugs.
  7. Rehabilitative and Habilitative Services - services and devices to help you recover if you are injured, or have a disability or chronic condition. This includes physical and occupational therapy, speech-language pathology, psychiatric rehabilitation, and more.
  8. Laboratory Services - covers lab tests, X-ray services, and pathology, and imaging and diagnostics such as MRI, CT scan, and PET scan.
  9. Preventive and Wellness Services - including mammograms, colonoscopies, vaccines. Covered in full if you use in-network providers for care such as routine physicals, screening, and immunizations. Disease management coordinates care for diabetes, asthma, and other conditions.
  10. Pediatric Services - including dental care (preventive, basic, major) and vision care (eye exam, lenses, and eyewear).