Summary of Benefits and Coverage
The Summary of Benefits and Coverage (SBC) is a federally mandated document designed to allow "apples to apples" comparisons of health plan options. It is important to know the SBC is for plan comparison purposes only; it does not replace the benefit summary and contract of your purchased health plan.
Learn more about the SBC at HealthCare.gov.
2025 Plans
Oregon residents:
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2025 Plan Overview
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2025 Providence plans available through Providence or a producer
Connect Plans
Connect plan members select a medical home from the Providence Connect Network of more than 80 primary care clinics in Clackamas, Hood River, Multnomah, Washington and Yamhill (zip codes 97123 and 97132 only) counties.
- Connect 1500 Gold (PDF)
- Connect 5000 Silver (PDF)
- Connect 9200 Bronze (PDF)
- Connect Direct 5000 Silver (PDF)
Providence Oregon Standard Plans
Standard plans are available state-wide and offer a greater choice between coverage levels with affordable premiums.
- Providence Oregon Standard Gold Plan Choice Network (PDF)
- Providence Oregon Standard Silver Plan Choice Network (PDF)
- Providence Oregon Standard Bronze Plan Choice Network (PDF)
- Providence Oregon Standard Gold Plan Signature Network (PDF)
- Providence Oregon Standard Silver Plan Signature Network (PDF)
- Providence Oregon Standard Bronze Plan Signature Network (PDF)
Providence Oregon Direct Plans
Providence Oregon Direct plans may offer a lower premium for those who don’t qualify for financial assistance through the Health Insurance Marketplace™.
- Providence Oregon Direct Silver Plan Choice Network (PDF)
- Providence Oregon Direct Silver Plan Signature Network (PDF)
HSA Qualified Plans
HSA Qualified plans are available state-wide and are high-deductible health plans that can help members save pre-tax dollars to pay for future health care expenses, when paired with a tax-exempt health savings account, if eligible.
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2025 Providence plans available through Healthcare.gov or a producer
Connect Plans
Connect plan members select a medical home from the Providence Connect Network of more than 80 primary care clinics in Clackamas, Hood River, Multnomah, Washington and Yamhill (zip codes 97123 and 97132 only) counties.
- Connect 1500 Gold (PDF)
- Connect 5000 Silver (PDF)
- Connect 5000 Silver (73%) (PDF)
- Connect 5000 Silver (87%) (PDF)
- Connect 5000 Silver (94%) (PDF)
- Connect 9200 Bronze (PDF)
Providence Oregon Standard Plans
Standard plans are offered state-wide and offer a greater choice between coverage levels.
- Providence Oregon Standard Gold Plan Choice Network (PDF)
- Providence Oregon Standard Silver Plan Choice Network (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 Bronze Plan Choice Network (PDF)
- Providence Oregon Standard Gold Plan Signature Network (PDF)
- Providence Oregon Standard Silver Plan Signature Network (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 Signature Network (PDF)
HSA Qualified Plans
HSA Qualified plans are offered state-wide and are high-deductible health plans that help members save pre-tax dollars to pay for future health care expenses, when paired with a tax-exempt health savings account.
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2025 Providence plans available to a member of a federally recognized tribe through Healthcare.gov or a producer
Connect Plans
Connect plan members select a medical home from the Providence Connect Network of more than 80 primary care clinics in Clackamas, Hood River, Multnomah, Washington and Yamhill (zip codes 97123 and 97132 only) counties..
- Connect 1500 Gold Tribal Zero (PDF)
- Connect 1500 Gold Tribal 300 (PDF)
- Connect 5000 Silver Tribal Zero (PDF)
- Connect 5000 Silver Tribal 300 (PDF)
- Connect 9200 Bronze Tribal Zero (PDF)
- Connect 9200 Bronze Tribal 300 (PDF)
Providence Oregon Standard Plans
Standard plans are available state-wide and offer a greater choice between coverage levels with affordable premiums.
- Providence Oregon Standard Gold Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Gold Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Silver Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Silver Plan Choice Network Tribal 300 (PDF)
- Providence Oregon Standard Bronze Plan Choice Network Tribal Zero (PDF)
- Providence Oregon Standard Bronze Plan Choice Network Tribal 300 (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 Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Silver Plan Signature Network Tribal 300 (PDF)
- Providence Oregon Standard Bronze Plan Signature Network Tribal Zero (PDF)
- Providence Oregon Standard Bronze Plan Signature Network Tribal 300 (PDF)
Qualified Plans
Qualified plans are available state-wide and are high-deductible health plans. Tribal Zero and Tribal 300 plans are not eligible for Health Savings Accounts per IRS regulations.
Washington residents:
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2025 Plan Overview
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2025 Providence plans available through Providence or a producer
Columbia Plans
Columbia plan members select a medical home from the Providence Choice Network of primary care clinics in Benton, Clark, Franklin, Spokane, Thurston and Walla Walla counties.