Benefit Summaries and SBCs
- A Benefit Summary is an overview of a health plan's highlights, including copays, coinsurance, deductibles, and extra perks.
- A Summary of Benefits and Coverage (SBC) is a standardized, legally required document under the Affordable Care Act (ACA) that includes deductibles, out-of-pocket maximums, copays, coinsurance, coverage examples, what’s covered & not covered, and limitations & exclusions.
2026 Benefit Summaries and SBCs
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Connect Plans - Oregon
Benefit Summaries
- Connect 1500 Gold (Direct) (PDF)
- Connect 1500 Gold (FFM) (PDF)
- Connect 1500 Gold Tribal Zero (PDF)
- Connect 1500 Gold Tribal 300 (PDF)
- Connect 6000 Silver (Direct) (PDF)
- Connect 6000 Silver (FFM) (PDF)
- Connect 6000 Silver Tribal Zero (PDF)
- Connect 6000 Silver Tribal 300 (PDF)
- Connect 6000 Silver (73%) (PDF)
- Connect 6000 Silver (87%) (PDF)
- Connect 6000 Silver (94%) (PDF)
- Connect 9800 Bronze (Direct) (PDF)
- Connect 9800 Bronze (FFM) (PDF)
- Connect 9800 Bronze Tribal Zero (PDF)
- Connect 9800 Bronze Tribal 300 (PDF)
- Connect Direct 6000 Silver (Direct) (PDF)
SBCs
- Connect 1500 Gold (Direct) (PDF)
- Connect 1500 Gold (FFM) (PDF)
- Connect 1500 Gold Tribal Zero (PDF)
- Connect 1500 Gold Tribal 300 (PDF)
- Connect 6000 Silver (Direct) (PDF)
- Connect 6000 Silver (FFM) (PDF)
- Connect 6000 Silver Tribal Zero (PDF)
- Connect 6000 Silver Tribal 300 (PDF)
- Connect 6000 Silver (73%) (PDF)
- Connect 6000 Silver (87%) (PDF)
- Connect 6000 Silver (94%) (PDF)
- Connect 9800 Bronze (Direct) (PDF)
- Connect 9800 Bronze (FFM) (PDF)
- Connect 9800 Bronze Tribal Zero (PDF)
- Connect 9800 Bronze Tribal 300 (PDF)
- Connect Direct 6000 Silver (PDF)
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HSA Qualified Plans - Oregon
Benefit Summaries
- HSA-E Qualified 7500 Bronze Plan Choice Network (Direct) (PDF)
- HSA-E Qualified 7500 Bronze Plan Choice Network (FFM) (PDF)
- Qualified 7500 Bronze Plan Choice Network Tribal Zero (PDF)
- Qualified 7500 Bronze Plan Choice Network Tribal 300 (PDF)
- HSA-E Qualified 7500 Bronze Plan Signature Network (Direct) (PDF)
- HSA-E Qualified 7500 Bronze Plan Signature Network (FFM) (PDF)
- Qualified 7500 Bronze Plan Signature Network Tribal Zero (PDF)
- Qualified 7500 Bronze Plan Signature Network Tribal 300 (PDF)
SBCs
- HSA-E Qualified 7500 Bronze Plan Choice Network (Direct) (PDF)
- HSA-E Qualified 7500 Bronze Plan Choice Network (FFM) (PDF)
- Qualified 7500 Bronze Plan Choice Network Tribal Zero (PDF)
- Qualified 7500 Bronze Plan Choice Network Tribal 300 (PDF)
- HSA-E Qualified 7500 Bronze Plan Signature Network (Direct) (PDF)
- HSA-E Qualified 7500 Bronze Plan Signature Network (FFM) (PDF)
- Qualified 7500 Bronze Plan Signature Network Tribal Zero (PDF)
- Qualified 7500 Bronze Plan Signature Network Tribal 300 (PDF)
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Providence Oregon Direct Plans - Oregon
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Standard Plans - Oregon
Benefit Summaries
- Providence Oregon Standard Gold Plan Choice Network (Direct) (PDF)
- Providence Oregon Standard Gold Plan Choice Network (FFM) (PDF)
- Providence Oregon Standard Gold Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Gold Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Gold Plan Signature Network (Direct) (PDF)
- Providence Oregon Standard Gold Plan Signature Network (FFM) (PDF)
- Providence Oregon Standard Gold Plan Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Gold Plan Signature Network Tribal 300 (PDF)
- Providence Oregon Standard Silver Plan Choice Network (Direct) (PDF)
- Providence Oregon Standard Silver Plan Choice Network (FFM) (PDF)
- Providence Oregon Standard Silver Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Silver Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Silver Plan Choice Network (73%) (PDF)
- Providence Oregon Standard Silver Plan Choice Network (87%) (PDF)
- Providence Oregon Standard Silver Plan Choice Network (94%) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (Direct) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (FFM) (PDF)
- Providence Oregon Standard Silver Plan Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Silver Plan Signature Network Tribal 300 (PDF)
- Providence Oregon Standard Silver Plan Signature Network (73%) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (87%) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (94%) (PDF)
- Providence Oregon Standard Bronze Plan Choice Network (Direct) (PDF)
- Providence Oregon Standard Bronze Plan Choice Network (FFM) (PDF)
- Providence Oregon Standard Bronze Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Bronze Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Bronze Plan Signature Network (Direct) (PDF)
- Providence Oregon Standard Bronze Plan Signature Network (FFM) (PDF)
- Providence Oregon Standard Bronze Plan Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Bronze Plan Signature Network Tribal 300 (PDF)
SBCs
- Providence Oregon Standard Gold Plan Choice Network (Direct) (PDF)
- Providence Oregon Standard Gold Plan Choice Network (FFM) (PDF)
- Providence Oregon Standard Gold Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Gold Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Gold Plan Signature Network (Direct) (PDF)
- Providence Oregon Standard Gold Plan Signature Network (FFM) (PDF)
- Providence Oregon Standard Gold Plan Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Gold Plan Signature Network Tribal 300 (PDF)
- Providence Oregon Standard Silver Plan Choice Network (Direct) (PDF)
- Providence Oregon Standard Silver Plan Choice Network (FFM) (PDF)
- Providence Oregon Standard Silver Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Silver Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Silver Plan Choice Network (73%) (PDF)
- Providence Oregon Standard Silver Plan Choice Network (87%) (PDF)
- Providence Oregon Standard Silver Plan Choice Network (94%) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (Direct) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (FFM) (PDF)
- Providence Oregon Standard Silver Plan Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Silver Plan Signature Network Tribal 300 (PDF)
- Providence Oregon Standard Silver Plan Signature Network (73%) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (87%) (PDF)
- Providence Oregon Standard Silver Plan Signature Network (94%) (PDF)
- Providence Oregon Standard Bronze Plan Choice Network (Direct) (PDF)
- Providence Oregon Standard Bronze Plan Choice Network (FFM) (PDF)
- Providence Oregon Standard Bronze Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Bronze Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Bronze Plan Signature Network (Direct) (PDF)
- Providence Oregon Standard Bronze Plan Signature Network (FFM) (PDF)
- Providence Oregon Standard Bronze Plan Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Bronze Plan Signature Network Tribal 300 (PDF)
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Individual & Family Dental Plans - Oregon
Benefit Summaries
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Columbia Plans - Washington
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