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Explore and compare 2022 health plans that meet your business and employees’ needs. View 2021 plans.
Interested in establishing a self-funded plan? See our ASO plans link below.

Choice

Offers integrated care from the team at your home clinic

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Connect

Cost-saving features tailored to your employees needs

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HSA Qualified

Save pre-tax dollars to pay for future health care expenses

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Option Advantage Base

Affordable coverage and access to our lowest premium

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Option Advantage Plus

Robust coverage with the deductible waived on select services

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Option Advantage Premium

Base and Plus features with greater choice of providers in and out-of-network

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Personal Option

Coverage to in-network providers only making many services free of deductibles

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  • Plan Overview
    • Premium savings making this plan ideal for cost-sensitive employers
    • Members work closely with a dedicated medical home care team
    • Ultimate plan design flexibility
    • Express Care services are covered in full; deductible waived
    • An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
    • Referrals coordinated by a dedicated medical home team
    • NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
    • NEW! $10 copay for PCP and mental health virtual visits
    • Premium savings making this plan ideal for cost-sensitive employers
    • Members work closely with a dedicated medical home care team
    • Ultimate plan design flexibility
    • Express Care services are covered in full; deductible waived
    • An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
    • Referrals coordinated by a dedicated medical home team
    • NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
    • NEW! $10 copay for PCP and mental health virtual visits
    • Live 24/7 customer service
    • Online access to account information anytime–from paying providers to viewing claims
    • Integrated plan setup, enrollment, claims administration and billing so that health plan and member accounts are set up in one convenient place
    • A fully-equipped employer portal for all your contribution and reporting needs
    • Free HealthEquity mobile app gives members on-the-go access to account information
    • An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
    • NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
    • Lowest premiums of all Option Advantage plans
    • Comprehensive, robust coverage and predictable costs
    • Ultimate plan design flexibility
    • Benefits subject to the deductible
    • Deductible waived on preventive services
    • An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
    • NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
    • NEW! $10 copay for PCP and mental health virtual visits
    • Comprehensive, robust coverage and predictable costs
    • Ultimate plan design flexibility
    • Deductible waived on in-network PCP, specialists, urgent care visits, allergy shots and outpatient physical therapy
    • First $500 of in-network lab and X-ray services covered in full; deductible waived
    • Express Care services are covered in full; deductible waived
    • An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
    • NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
    • NEW! $10 copay for PCP and mental health virtual visits
    • Comprehensive, robust coverage and predictable costs
    • Ultimate plan design flexibility
    • Deductible waived on in-network PCP, specialists, ER, urgent care, allergy shots, outpatient physical therapy and lab and X-ray, and imaging services (PET, CT, MRI)
    • Deductible waived on in-network delivery, postnatal and routine newborn nursery care; delivery is 10x PCP copay
    • Express Care services are covered in full; deductible waived
    • An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
    • NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
    • NEW! $10 copay for PCP and mental health virtual visits
    • Comprehensive, robust coverage
    • Predictable costs
    • Ultimate plan design flexibility
    • Many services are not subject to the deductible
    • Coverage to in-network providers only
    • An annual eye exam from participating providers after a $10 copay (copay only applies to adults)
    • NEW! 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, in-network, deductible waived
    • NEW! $10 copay for PCP and mental health virtual visits
  • Free In-Network Services

    ACA preventive care

    ProvRN

    LifeBalance

    Disease management for chronic conditions

    Health coaching

    ID protection 

    Travel assistance

    ACA preventive care

    ProvRN

    LifeBalance

    Disease management for chronic conditions

    Health coaching

    ID protection

    Travel assistance

    ACA preventive care

    ProvRN

    LifeBalance

    Disease management for chronic conditions

    Health coaching

    ID protection 

    Travel assistance

    ACA preventive care

    ProvRN

    LifeBalance

    Disease management for chronic conditions

    Health coaching

    ID protection 

    Travel assistance

    ACA preventive care

    ProvRN

    LifeBalance

    Disease management for chronic conditions

    Health coaching

    ID protection

    Travel assistance

    ACA preventive care

    ProvRN

    LifeBalance

    Disease management for chronic conditions

    Health coaching

    ID protection 

    Travel assistance

    ACA preventive care

    ProvRN

    LifeBalance

    Disease management for chronic conditions

    Health coaching

    ID protection 

    Travel assistance

  • Provider Network

    Choice Network

    Tailored network medical home model

    Referral needed for select specialty care

    Connect Network

    Tailored network medical home model

    Referral needed for select specialty care

    Signature Network

    Broad PPO-style network

    No referral needed for select specialty care

    Signature Network

    Broad PPO-style network

    No referral needed for select specialty care

    Signature Network

    Broad PPO-style network

    No referral needed for select specialty care

    Signature Network

    Broad PPO-style network

    No referral needed for select specialty care

    Signature Network

    Broad PPO-style network

    No referral needed for select specialty care

  • Plan Design

    Cannot combine in- and out-of-network deductible and out-of-pocket maximum

    Cannot combine in- and out-of-network deductible and out-of-pocket maximum

    Option to combine in- and out-of-network deductible and out-of-pocket maximum

    Option to combine in- and out-of-network deductible and out-of-pocket maximum

    Option to combine in- and out-of-network deductible and out-of-pocket maximum

    Option to combine in- and out-of-network deductible and out-of-pocket maximum

    Option to combine in- and out-of-network deductible and out-of-pocket maximum

  • Plan Benefits

    Most services covered before the deductible is met

    Deductible waived for in-network PCP and specialist visits

    Deductible waived for in-network urgent care visits

    Specialist copay differs from PCP copay

    Option to pair plan with an integrated health account

    Most services covered before the deductible is met

    Deductible waived for in-network PCP and specialist visits

    Deductible waived for in-network urgent care visits

    Specialist copay differs from PCP copay

    Option to pair plan with an integrated health account

    Most services covered after the deductible is met

    Deductible applies for in-network PCP and specialist visits

    Deductible applies for in-network urgent care visits

    Specialist copay is the same as PCP copay

    Option to pair plan with an integrated health account

    Most services covered after the deductible is met

    Deductible applies for in-network PCP and specialist visits

    Deductible applies for in-network urgent care visits

    Specialist copay differs from PCP copay

    Option to pair plan with an integrated health account

    Most services covered after the deductible is met

    Deductible waived for in-network PCP and specialist visits

    Deductible waived for in-network urgent care visits

    Specialist copay differs from PCP copay

    Option to pair plan with an integrated health account

    Most services covered before the deductible is met

    Deductible waived for in-network PCP and specialist visits

    Deductible waived for in-network urgent care visits

    Specialist copay is the same as PCP copay

    Option to pair plan with an integrated health account

    Most services covered before the deductible is met

    Deductible waived for in-network PCP and specialist visits

    Deductible waived for in-network urgent care visits

    Specialist copay is the same as PCP copay

    Option to pair plan with an integrated health account

Choice is good. We have the options you deserve.

Multiple plan offering
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Self-funded plans
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Add-on services
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Employer groups 51+

Our large group plans offer account integration, employee assistance, and the ultimate flexibility for your business.

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Our plans offer a number of perks designed to support your employees' True Health

ID Protection

Get peace of mind with Assist America Identity Theft Protection's fraud monitoring, warning, and resolution.

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Health Coaching

Providence health coaches are here to support your journey to a healthier, happier life.

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Travel Assistance

Get emergency medical help while traveling more than 100 miles away from home, or internationally with Assist America.

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ChooseHealthy®

Save big on fitness and wellness products, services, and memberships.

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LifeBalance

Get discounts on things you love to do, from seeing a movie to getting away for less with unique vacation packages.

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Active&Fit™

Access 10,000 participating fitness centers and YMCAs nationwide for only $25/month plus taxes, fees and a 3 month commitment.

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