Welcome Bend Chamber Producers and Employers!

Providence is proud to partner with the Bend Chamber of Commerce to provide network and plan options that serve the covered association's businesses and their members' needs.

Requirements to participate:

  • Your business must be headquartered in the state of Oregon
  • Your Chamber membership must be maintained
  • Have at least two employees enrolled in a group

If you have any questions, please talk with your agent or Johnson Benefit Planning. They’d be happy to talk you through the various plan options available to employees and answer any questions you may have.

2024 producer brochure  2024 employer brochure

2023 producer brochure  2023 employer brochure

Find documents and forms

 

Tailored Plan Designs That Perform

Some standard features of the Bend Chamber plans
  • Premier, Core and Base plans with a wide range of deductibles
  • Common deductibles for most Premier Plans
  • New lower cost plan options with Base, Choice and Connect plans
  • HSA Qualified plans with an embedded deductible
  • Virtual office visits for in-network primary care and behavioral health providers covered in full on most plans
  • Multiple plan offerings - 2-9 enrolled employees can have 2 plans, and 10 or more can have up to 3 plans
  • Two pharmacy plan options for Premier plans
  • Many preventive medications with a $0 copay
  • 90-day supply of maintenance medications for two copayments
  • Optional vision benefit that can be added
  • Chiropractic (20 visits) and acupuncture (12 visits) embedded for each covered member
  • $1,000 accident benefit on all non-HSA plans
  • AD&D benefit of $25,000 for employees enrolled in the medical plan through USAble Life
  • No cost COBRA administration
  • Four visit Employee Assistance Program

Comprehensive Network Options


With Providence, Bend Chamber members will have access to more in-network providers – close to home and coast-to-coast.

All networks listed below include Cigna as the national wrap network for access outside of Oregon and southwest Washington.

Providence Signature Network + OHSU

  • Expansive network featuring over 1 million providers nationwide, including top health systems in Oregon such as Providence, Asante, St. Charles, OHSU, and more. The Cigna PPO Network covers members outside of Oregon and southwest Washington.
Providence Choice Network

  • Tailored, high-performing network of nearly 410 patient-centered medical homes. Clinics in the Choice network are designated as medical homes by the Oregon Health Authority based on access, coordination, quality, and cost measures. Includes standard Signature Network.
Providence Connect Network

  • Like Choice, participating clinics in this tailored medical home style network partner with Providence to improve the quality of care and reduce medical costs. Connect is available in the Portland metropolitan area, centered around the Providence delivery system.

Important health plan information and forms

  • Plan Comparison Overview
    2024 Health Plans
     
    2023 Health Plans
  • 2024 Benefit Summaries

    The number in the links below corresponds to the deductible amount. Looking for Summaries of Benefits and Coverage (SBCs)? See next drop-down.

     

    2024 Benefit Summaries
    Premier Premium plans
     
    Core Plus plans
     
    HSA plans
    • HSA 3200 SD (PDF)
    • HSA 3200 SD - Spanish (PDF - Coming Soon)
    • HSA 4000 SD (PDF)
    • HSA 4000 SD - Spanish (PDF - Coming Soon)
    • HSA 6000 SD (PDF)
    • HSA 6000 SD - Spanish (PDF - Coming Soon)
     
    Base plans
    • Base 1000 CD (PDF)
    • Base 1000 CD - Spanish (PDF - Coming Soon)
    • Base 1500 CD (PDF)
    • Base 1500 CD - Spanish (PDF - Coming Soon)
    • Base 2000 CD (PDF)
    • Base 2000 CD - Spanish (PDF - Coming Soon)
    • Base 3000 CD (PDF)
    • Base 3000 CD - Spanish (PDF - Coming Soon)
    • Base 4000 CD (PDF)
    • Base 4000 CD - Spanish (PDF - Coming Soon)
    • Base 5000 CD (PDF)
    • Base 5000 CD - Spanish (PDF - Coming Soon)
    • Base 6000 CD (PDF)
    • Base 6000 CD - Spanish (PDF - Coming Soon)
     
    Premier Choice plans
     
    Premier Connect plans
     
    Core Choice plans
     
    Core Connect plans
     
    Pharmacy (Rx) Options
     
    Optional vision benefit

    Vision administered through Providence Health Plan NOT VSP. Eligibility can be confirmed with Customer Service at 503-574-7500 or 800-878-4445.

     

    • Vision (PDF)
    • Vision - Spanish (PDF - Coming Soon) 
  • 2023 Benefit Summaries

    The number in the links below corresponds to the deductible amount. Looking for Summaries of Benefits and Coverage (SBCs)? See next drop-down.

     

    2023 Benefit Summaries
    Premier Premium plans
     
    Core Plus plans
     
    HSA plans
     
    Premier Choice plans
     
    Premier Connect plans
       
      Core Choice plans
       
      Core Connect plans
       
      Pharmacy (Rx) Options 

       

      Available for Premier and Core plans:

       
      Optional vision benefit

      Vision administered through Providence Health Plan NOT VSP. Eligibility can be confirmed with Customer Service at 503-574-7500 or 800-878-4445.

       

    • 2024 Summaries of Benefits and Coverage (SBCs)

      Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. For more information about SBCs, visit HealthCare.gov.

       

      2024 Summaries of Benefits and Coverage (SBCs)
      Premier Premium plans (Coming Soon)
      Premier Signature + OHSU
      • 250 CD
      • Rx 5/10/50/75/30 
      • No Vision 
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 250 CD
      • Rx 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 250 CD
      • Rx 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 250 CD
      • Rx 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Signature + OHSU
      • 500 CD
      • Rx 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 500 CD
      • Rx 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 500 CD
      • Rx 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 500 CD
      • Rx 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premium Signature + OHSU
      • 1000 CD
      • Rx 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 1000 CD
        Rx 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 1000 CD
        Rx 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 1000 CD
      • Rx 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)

      Premium Signature + OHSU

      • 1500 CD
      • Rx 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)

      Premium Signature + OHSU

      • 1500 CD
      • Rx 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 1500 CD
      • Rx 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 1500 CD
      • Rx 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)

      Premium Signature + OHSU

      • 2000 CD
      • Rx 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)

      Premium Signature + OHSU

      • 2000 CD
      • Rx 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 2000 CD
      • Rx 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 2000 CD
      • Rx 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premium Signature + OHSU
      • 3000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 3000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 3000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 3000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premium Signature + OHSU
      • 4000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 4000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 4000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 4000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premium Signature + OHSU
      • 5000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 5000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premium Signature + OHSU
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)

      Premium Signature + OHSU

      • 6000cd
      • Rx 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)

      Premium Signature + OHSU

      • 6000cd
      • Rx 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)

      Premium Signature + OHSU

      • 6000cd
      • Rx 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		  Premium Signature + OHSU
      • 6000cd
      • Rx 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)

       

       

      Premier Choice plans (Coming Soon)
      Premier Choice
      • 1000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 1500 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1500 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 2000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 2000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 2000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 2000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 3000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 3000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 3000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 3000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 4000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 4000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 4000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 4000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice                 
      • 5000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice                 
      • 5000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice                 
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice                 
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)


      Premier Connect plans (Coming Soon)
      Premier Connect
      • 1000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 1500 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1500 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 2000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 2000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 2000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 2000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 3000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 3000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 3000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 3000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 4000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 4000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 4000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 4000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect             
      • 5000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect               
      • 5000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect               
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect             
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)


      Core Plus plans (Coming Soon)
      Core Plus
      • 2500 SD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Plus
      • 2500 SD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Plus
      • 5000 SD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Plus
      • 5000 SD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
       

      Core Choice plans (Coming Soon)
      Core Choice
      • 2500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 2500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Choice
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Choice
      • 6500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 6500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Choice
      • 9100 SD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 9100 SD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
       

      Core Connect plans (Coming Soon)
      Core Connect
      • 2500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 2500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Connect
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Connect
      • 6500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 6500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Connect
      • 9100 SD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 9100 SD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)

       

       

      HSA plans (Coming Soon)
      Premier Signature + OHSU
      • 3200 SD
      • Embedded RX
      • No Vision
      • English (PDF)
      • Spanish (PDF) 
      		 Premier Signature + OHSU
      • 3200 SD
      • Embedded RX
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Signature + OHSU
      • 4000 SD
      • Embedded RX
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 4000 SD
      • Embedded RX
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Signature + OHSU
      • 6000 SD
      • Embedded RX
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Signature + OHSU
      • 6000 SD
      • Embedded RX
      • Vision
      • English (PDF)
      • Spanish (PDF)

       

       

      Base Plans (Coming Soon)
      Base
      • 1000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 1000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 1000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 1000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Base             
      • 1500 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 1500 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base
      • 1500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 1500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Base             
      • 2000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 2000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base
      • 2000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base
      • 2000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Base             
      • 3000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 3000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 3000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 3000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Base             
      • 4000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 4000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base             
      • 4000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base
      • 4000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Base                              
      • 5000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base                              
      • 5000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base                              
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base                              
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Base                          
      • 6000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base                  
      • 6000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base            
      • 6000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Base
      • 6000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)

    • 2023 Summaries of Benefits and Coverage (SBCs)

      Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. For more information about SBCs, visit HealthCare.gov.

       

      2023 Summaries of Benefits and Coverage (SBCs)
      Premier Premium plans
      Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU
      Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU
      Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU
      Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU
      Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU
      Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU

      Premier Choice plans
      Premier Choice
      • 1000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 1500 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1500 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 1500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 2000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 2000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 2000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 2000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 3000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 3000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 3000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 3000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice
      • 4000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 4000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 4000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice
      • 4000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Choice                 
      • 5000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice                 
      • 5000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice                 
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Choice                 
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)


      Premier Connect plans
      Premier Connect
      • 1000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 1500 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1500 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 1500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 2000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 2000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 2000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 2000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 3000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 3000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 3000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 3000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect
      • 4000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 4000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 4000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect
      • 4000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
      Premier Connect             
      • 5000 CD
      • RX 5/10/50/75/30
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect               
      • 5000 CD
      • RX 5/10/50/75/30
      • Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect               
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Premier Connect             
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)


      Core Plus plans
      Core Signature + OHSU Core Signature + OHSU
      Core Signature + OHSU Core Signature + OHSU
       

      Core Choice plans
      Core Choice
      • 2500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 2500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Choice
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Choice
      • 6500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 6500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Choice
      • 9100 SD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Choice
      • 9100 SD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
       

      Core Connect plans
      Core Connect
      • 2500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 2500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Connect
      • 5000 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 5000 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Connect
      • 6500 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 6500 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF) 
      Core Connect
      • 9100 CD
      • RX 5/10/50/50/50
      • No Vision
      • English (PDF)
      • Spanish (PDF)
      		 Core Connect
      • 9100 CD
      • RX 5/10/50/50/50
      • Vision
      • English (PDF)
      • Spanish (PDF)
       

      HSA plans
      Premier Signature + OHSU Premier Signature + OHSU
      Premier Signature + OHSU Premier Signature + OHSU
      Premier Signature + OHSU Premier Signature + OHSU
    • Forms
    • Behavioral Health Resources

      Providence values whole-self care for all members and we know one-size doesn’t fit all. Supporting different ways to access care and everyone’s unique journey, our benefits cover a wide range of needs. Options include in-person and virtual care, digital self-management tools, and a dedicated 24/7 crisis line.


      Learn more by visiting our Behavioral Health resource page: providencehealthplan.com/behavioral-health


      • Download this flyer to see the full suite of services, as well as where and how to access them
      • Or use this flyer as an FAQ for employees on what services are available, as well as where and how to access them 
    • Accessing the Cigna PPO Network

      Are you seeing one of the providers in our national network outside of Oregon and having trouble with your insurance coverage? Show the provider the Cigna Accessing Care Flyer to answer their questions about how to verify your eligibility and where to send claims. 

       

      Or download this flyer for tips and tricks for finding or talking to providers in the Cigna PPO Network.

       

      Navigating the Cigna PPO Network (PDF)

    • Delta Dental

      Visit the Delta Dental Bend Chamber page for information about dental networks, plans, digital tools, resources, and how to get started.


      Delta Dental
    • Benefit Help Solutions

    Questions? Feel free to reach out in one of the ways outlined below.

    Producers Employers
    Johnson Benefit Planning
    541-382-3571 or toll-free 1-800-314-3571

    Bend Chamber of Commerce
    541-382-3221     		Please reach out to the Producer you work with.
    Need help?

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