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. |
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.
2023 producer brochure 2023 employer brochure
PacificSource to Providence crossover plan crosswalk (PDF)
Tailored Plan Designs That Perform
Some standard features of the Bend Chamber plans
- Premier and Core plans with a wide range of deductibles and coverage with the deductible waived for a number of common services
- Common deductibles for most Premier Plans
- New lower cost plan options with Choice and Connect plans that are a patient-centered medical homes model
- HSA Qualified plans with an embedded deductible
- Virtual office visits for in-network primary care and mental health providers covered in full on most plans
- Primary care and specialist visits not subject to the deductible on all non-HSA 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 2023 health plan information and forms
-
Plan Comparison Overview
- Premier plans (PDF)
- Core plans (PDF)
- HSA plans (PDF)
-
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.
PacificSource to Providence crossover plan crosswalk
PacificSource to Providence crossover plan crosswalk (PDF)
Premier Premium plans
- Premier Signature + OHSU 1000 CD (PDF)
- Premier Signature + OHSU 1000 CD - Spanish (PDF)
- Premier Signature + OHSU 1500 CD (PDF)
- Premier Signature + OHSU 1500 CD - Spanish (PDF)
- Premier Signature + OHSU 2000 CD (PDF)
- Premier Signature + OHSU 2000 CD - Spanish (PDF)
- Premier Signature + OHSU 3000 CD (PDF)
- Premier Signature + OHSU 3000 CD - Spanish (PDF)
- Premier Signature + OHSU 4000 CD (PDF)
- Premier Signature + OHSU 4000 CD - Spanish (PDF)
- Premier Signature + OHSU 5000 CD (PDF)
- Premier Signature + OHSU 5000 CD - Spanish (PDF)
Premier Choice plans
- Premier Choice 1000 CD (PDF)
- Premier Choice 1500 CD (PDF)
- Premier Choice 2000 CD (PDF)
- Premier Choice 3000 CD (PDF)
- Premier Choice 4000 CD (PDF)
- Premier Choice 5000 CD (PDF)
Premier Connect plans
- Premier Connect 1000 SD (PDF)
- Premier Connect 1500 SD (PDF)
- Premier Connect 2000 SD (PDF)
- Premier Connect 3000 SD (PDF)
- Premier Connect 4000 SD (PDF)
- Premier Connect 5000 SD (PDF)
Core Plus plans
- Core Signature + OHSU 2500 SD (PDF)
- Core Signature + OHSU 2500 SD - Spanish (PDF)
- Core Signature + OHSU 5000 SD (PDF)
- Core Signature + OHSU 5000 SD - Spanish (PDF)
Core Choice plans
- Core Choice 2500 CD (PDF)
- Core Choice 5000 CD (PDF)
- Core Choice 6500 CD (PDF)
- Core Choice 9100 SD (PDF)
Core Connect plans
- Core Connect 2500 SD (PDF)
- Core Connect 5000 SD (PDF)
- Core Connect 6500 SD (PDF)
- Core Connect 9100 SD (PDF)
HSA plans
- HSA 3000 SD (PDF)
- HSA 3000 SD - Spanish (PDF)
- HSA 4000 SD (PDF)
- HSA 4000 SD - Spanish (PDF)
- HSA 6000 SD (PDF)
- HSA 6000 SD - Spanish (PDF)
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)
Pharmacy (Rx) Options
Available only for Premier plans:Available for Premier and Core plans:
-
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.
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 (PDF) - Coming Soon
- Premier Choice 1500 CD (PDF) - Coming Soon
- Premier Choice 2000 CD (PDF) - Coming Soon
- Premier Choice 3000 CD (PDF) - Coming Soon
- Premier Choice 4000 CD (PDF) - Coming Soon
- Premier Choice 5000 CD (PDF) - Coming Soon
Premier Connect plans
- Premier Connect 1000 SD (PDF) - Coming Soon
- Premier Connect 1500 SD (PDF) - Coming Soon
- Premier Connect 2000 SD (PDF) - Coming Soon
- Premier Connect 3000 SD (PDF) - Coming Soon
- Premier Connect 4000 SD (PDF) - Coming Soon
- Premier Connect 5000 SD (PDF) - Coming Soon
Core Plus plans
Core Signature + OHSU Core Signature + OHSU Core Signature + OHSU Core Signature + OHSU
Core Choice plans
- Core Choice 2500 CD (PDF) - Coming Soon
- Core Choice 5000 CD (PDF) - Coming Soon
- Core Choice 6500 CD (PDF) - Coming Soon
- Core Choice 9100 SD (PDF) - Coming Soon
Core Connect plans
- Core Connect 2500 SD (PDF) - Coming Soon
- Core Connect 5000 SD (PDF) - Coming Soon
- Core Connect 6500 SD (PDF) - Coming Soon
- Core Connect 9100 SD (PDF) - Coming Soon
HSA plans
Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU Premier Signature + OHSU -
Forms
- Employee Enrollment Application and Waiver Form - Premium, Plus & HSA plans (PDF)
- Employee Enrollment Application and Waiver Form - Premium, Plus & HSA plans - Spanish (PDF)
- Employee Enrollment Application and Waiver Form - Choice and Connect plans (PDF)
- Employee Enrollment Application and Waiver Form - Choice and Connect plans - Spanish (PDF)
- Transition of Care Request Form (PDF)
- Transition of Care Request Form - Spanish (PDF)
- Master Application (Member Group Application) (PDF)
- Medicare Part D Creditability (PDF)
- Member Resource Guide (PDF)
- Renewal Confirmation Form (PDF)
- Underwriting Guidelines (PDF)
- COBRA Intake Packet (PDF)
- COBRA Qualifying Event (QE) Request Form (PDF)
- COBRA General Notice of Rights (New Hire Notice) (PDF)
- Associate Membership Application (PDF)
- EAP Summary of Services (PDF)
- Zywave Client Cloud Toolbox (PDF)
- USAble Life Beneficiary Form (PDF)
- USAble Life Statement of Claim - Group Accident Insurance (PDF)
- USAble Life Employee Benefits Summary (PDF)
-
Cigna Accessing Care Flyer
Is one of your employees seeing a provider in our national network outside of Oregon and having trouble with their insurance coverage? Show the provider the Cigna Accessing Care Flyer to answer their questions about how to verify their eligibility and where to send claims.
-
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