저희가 도와드립니다.

기업과 직원의 요구를 충족하는 2025년 건강 플랜을 살펴보고 비교하십시오.
2024년 플랜 보기.

Total Enhanced

Offering best-in-class benefits with full access to the Providence Signature Network

견적 요청 혜택 요약 보기

Balance

Excellent benefits, lower premiums & full access to the Providence Signature Network

견적 요청 혜택 요약 보기

Choice

Patient-centered medical home model of care with a statewide network that includes more than 400 primary care clinics

견적 요청 혜택 요약 보기

Connect

Substantial premium savings with Portland metro area Connect network medical home model that includes more than 100 patient-centered clinics

견적 요청 혜택 요약 보기

HSA Qualified

Affordable plans with lower-premiums, high-deductibles and provider choice in the national Providence Signature Network

견적 요청 혜택 요약 보기

Standard

These plans take advantage of the national Providence Signature Network

견적 요청 혜택 요약 보기
  • 플랜 개요
    • In- and out-of-network common deductibles and out-of-pocket maximums
    • Deductible waived on all six pharmacy tiers
    • 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, deductible waived
    • Offering the most robust level of coverage
    • Three EAP visits covered in full
    • $5 copay for each of the first three PCP and BH visits
    • $10 copay for PCP and mental health virtual visits
    • Separate deductibles and out-of-pocket maximums, in and out-of-network
    • Deductible waived on select benefits, including primary care and specialist office visits, urgent care and in-network physical therapy
    • 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, deductible waived
    • Cost-saving features tailored to your employees’ needs.
    • Balance plans are certified for SHOP
    • Three EAP visits covered in full
    • $5 copay for each of the first three PCP and BH visits 
    • $10 copay for PCP and mental health virtual visits
    • Separate deductibles and out-of-pocket maximums, in and out-of-network
    • 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, deductible waived
    • Three EAP visits covered in full
    • $5 copay for each of the first three PCP and BH visits
    • $10 copay for PCP and mental health virtual visits
    • Choice plans are certified for SHOP
    • Separate deductibles and out-of-pocket maximums, in and out-of-network
    • 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, deductible waived
    • Three EAP visits covered in full
    • $5 copay for each of the first three PCP and BH visits
    • $10 copay for PCP and mental health virtual visits
    • Connect plans are certified for SHOP
    • Separate deductibles and out-of-pocket maximums, in and out-of-network
    • A formulary that includes ACA preventive and core preventive medications that are exempt from the deductible
    • 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year
    • Free health savings account through HealthEquity available for all eligible HSA Qualified plan members
    • HSA Qualified plans are certified for SHOP
    • Three EAP visits covered in full
    • Separate deductibles and out-of-pocket maximums, in and out-of-network
    • Copays starting as low as $20 and deductibles as low as $1,800
    • 20 chiropractic manipulation visits and 12 acupuncture visits per calendar year, deductible waived
    • Defined by the State of Oregon. Available from Providence
    • Standard plans are certified for SHOP
    • Three EAP visits covered in full
    • $5 copay for each of the first three PCP and/or BH visits combined 
  • 제공자 네트워크

    Signature Network

    Broad PPO-style network

    No referrals required for in-network specialty care

    Signature Network

    Broad PPO-style network

    No referrals required for in-network specialty care

    Choice Network

    Local medical home model

    No referrals required for in-network specialty care

    Connect Network

    Local medical home model

    No referrals required for in-network specialty care

    Signature Network

    Broad PPO-style network

    No referrals required for in-network specialty care

    Signature Network

    Broad PPO-style network

    No referrals required for in-network specialty care

  • 혜택

    Combined in-network and out-of-network deductibles and out-of-pocket maximums

    Deductible applies to out-of-pocket maximum

    ACA preventive care covered in full

    Deductible waived for Primary Care Provider and specialist visits

    Deductible waived for lab and X-ray

     

    Deductible waived for all drug tiers

    Coverage for 20 chiropractic manipulation visits and 12 acupuncture visits

    Deductible waived for chiropractic manipulations, physical therapy and acupuncture

    Pediatric dental coverage included

    Adult vision exam coverage included

    Adult vision hardware coverage included

    Separate in-network and out-of-network deductibles and out-of-pocket maximums

    Deductible applies to out-of-pocket maximum

    ACA preventive care covered in full

    Deductible waived for Primary Care Provider and specialist visits

    Deductible waived for lab and X-ray (Gold and Silver plans only)

    Deductible waived for drug tiers 1-4 for Gold and Silver plans

    Coverage for 20 chiropractic manipulation visits and 12 acupuncture visits

    Deductible waived for chiropractic manipulations, physical therapy and acupuncture

    Pediatric dental coverage included

    Adult vision exam coverage included

    Adult vision hardware coverage included

    Separate in-network and out-of-network deductibles and out-of-pocket maximums

    Deductible applies to out-of-pocket maximum

    ACA preventive care covered in full

    Deductible waived for Primary Care Provider and specialist visits

    Deductible waived for lab and X-ray (Gold and Silver plans only)

    Deductible waived on drug tiers 1-4 for Gold and Silver plans, and on tiers 1-2 for Bronze plans

    Coverage for 20 chiropractic manipulation visits and 12 acupuncture visits

    Deductible waived for chiropractic manipulations, physical therapy and acupuncture

    Pediatric dental coverage included

    Adult vision exam coverage included

    Adult vision hardware coverage included

    Separate in-network and out-of-network deductibles and out-of-pocket maximums

    Deductible applies to out-of-pocket maximum

    ACA preventive care covered in full

    Deductible waived for Primary Care Provider and specialist visits

    Deductible waived for lab and X-ray (Gold and Silver plans only)

    Deductible waived on drug tiers 1-4 for Gold and Silver plans, and on tiers 1-2 for Bronze plans

    Coverage for 20 chiropractic manipulation visits and 12 acupuncture visits

    Deductible waived for chiropractic manipulations, physical therapy and acupuncture

    Pediatric dental coverage included

    Adult vision exam coverage included

    Adult vision hardware coverage included

    Separate in-network and out-of-network deductibles and out-of-pocket maximums

    Deductible applies to out-of-pocket maximum

    ACA preventive care covered in full

    Deductible applies for Primary Care Provider and specialist visits

    Deductible applies for lab and X-ray

     

    Tier 1 drugs covered in full for all plans.

    Coverage for 20 chiropractic manipulation visits and 12 acupuncture visits

    Deductible applies for chiropractic manipulations, physical therapy and acupuncture

    Pediatric dental coverage included

    Adult vision exam coverage included

    Adult vision hardware coverage included

    Separate in-network and out-of-network deductibles and out-of-pocket maximums

    Deductible applies to out-of-pocket maximum

    ACA preventive care covered in full

    Deductible waived for Primary Care Provider and specialist visits

    Deductible applies for lab and X-ray

     

    Deductible waived for all drug tiers for Gold and Silver plans and for tiers 1-2 for Bronze plans

    Coverage for 20 chiropractic manipulation visits and 12 acupuncture visits

    Deductible waived for chiropractic manipulations, physical therapy and acupuncture

    Pediatric dental coverage not included

    Adult vision exam coverage not included

    Adult vision hardware coverage not included

  • Health and Wellness 프로그램

    ProvRN free 24/7 nurse line

    Disease management for chronic conditions

    LifeBalance recreational discount program

    Health coaching

    ProvRN free 24/7 nurse line

    Disease management for chronic conditions

    LifeBalance recreational discount program

    Health coaching

    ProvRN free 24/7 nurse line

    Disease management for chronic conditions

    LifeBalance recreational discount program

    Health coaching

    ProvRN free 24/7 nurse line

    Disease management for chronic conditions

    LifeBalance recreational discount program

    Health coaching

    ProvRN free 24/7 nurse line

    Disease management for chronic conditions

    LifeBalance recreational discount program

    Health coaching

    ProvRN free 24/7 nurse line

    Disease management for chronic conditions

    LifeBalance recreational discount program

    Health coaching

  • 통합 HSA, HRA 및 FSA

    Can be paired with an integrated HealthEquity account

    HRA,FSA

    Can be paired with an integrated HealthEquity account

    HRA,FSA

    Can be paired with an integrated HealthEquity account

    HRA, FSA

    Can be paired with an integrated HealthEquity account

    HRA, FSA

    Can be paired with an integrated HealthEquity account

    HSA

    Can be paired with an integrated HealthEquity account

    HRA, FSA

  • 별점 등급

    Rating: Not rated

    Overall Star Rating

    Overall star rating is based on the categories below.

    Not rated.

    Member Experience

    Based on member satisfaction surveys about their health care, doctors, and ease of getting appointments and services.

    Not rated.

    Medical Care

    Based on providers improving or maintaining the health of their patients with regular screenings, tests, vaccines, and condition monitoring.

    Not rated.

    Plan Administration

    Based on how well a plan is run, including customer service, access to needed information, and providers ordering appropriate tests and treatment.

    Not rated.

    Disclaimer: Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2024. The ratings will be displayed for health plans for the 2025 Plan Year. Learn more about these ratings.

    Rating: Not rated

    Overall Star Rating

    Overall star rating is based on the categories below.

    Not rated.

    Member Experience

    Based on member satisfaction surveys about their health care, doctors, and ease of getting appointments and services.

    Not rated.

    Medical Care

    Based on providers improving or maintaining the health of their patients with regular screenings, tests, vaccines, and condition monitoring.

    Not rated.

    Plan Administration

    Based on how well a plan is run, including customer service, access to needed information, and providers ordering appropriate tests and treatment.

    Not rated.

    Disclaimer: Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2024. The ratings will be displayed for health plans for the 2025 Plan Year. Learn more about these ratings.

    Rating: Not rated

    Overall Star Rating

    Overall star rating is based on the categories below.

    Not rated.

    Member Experience

    Based on member satisfaction surveys about their health care, doctors, and ease of getting appointments and services.

    Not rated.

    Medical Care

    Based on providers improving or maintaining the health of their patients with regular screenings, tests, vaccines, and condition monitoring.

    Not rated.

    Plan Administration

    Based on how well a plan is run, including customer service, access to needed information, and providers ordering appropriate tests and treatment.

    Not rated.

    Disclaimer: Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2024. The ratings will be displayed for health plans for the 2025 Plan Year. Learn more about these ratings.

    Rating: Not rated

    Overall Star Rating

    Overall star rating is based on the categories below.

    Not rated.

    Member Experience

    Based on member satisfaction surveys about their health care, doctors, and ease of getting appointments and services.

    Not rated.

    Medical Care

    Based on providers improving or maintaining the health of their patients with regular screenings, tests, vaccines, and condition monitoring.

    Not rated.

    Plan Administration

    Based on how well a plan is run, including customer service, access to needed information, and providers ordering appropriate tests and treatment.

    Not rated.

    Disclaimer: Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2024. The ratings will be displayed for health plans for the 2025 Plan Year. Learn more about these ratings.

    Rating: Not rated

    Overall Star Rating

    Overall star rating is based on the categories below.

    Not rated.

    Member Experience

    Based on member satisfaction surveys about their health care, doctors, and ease of getting appointments and services.

    Not rated.

    Medical Care

    Based on providers improving or maintaining the health of their patients with regular screenings, tests, vaccines, and condition monitoring.

    Not rated.

    Plan Administration

    Based on how well a plan is run, including customer service, access to needed information, and providers ordering appropriate tests and treatment.

    Not rated.

    Disclaimer: Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2024. The ratings will be displayed for health plans for the 2025 Plan Year. Learn more about these ratings.

    Rating: Not rated

    Overall Star Rating

    Overall star rating is based on the categories below.

    Not rated.

    Member Experience

    Based on member satisfaction surveys about their health care, doctors, and ease of getting appointments and services.

    Not rated.

    Medical Care

    Based on providers improving or maintaining the health of their patients with regular screenings, tests, vaccines, and condition monitoring.

    Not rated.

    Plan Administration

    Based on how well a plan is run, including customer service, access to needed information, and providers ordering appropriate tests and treatment.

    Not rated.

    Disclaimer: Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2024. The ratings will be displayed for health plans for the 2025 Plan Year. Learn more about these ratings.

2025 플랜 개요 PDF - 곧 제공  혜택 및 보장 요약


참고:

이 비교 표에는 간단한 플랜 정보가 나열되어 있습니다. 자세한 내용은 혜택 요약을 참조하십시오. 당사의 플랜에는 혜택의 몇 가지 제한 및 제외 사항이 적용됩니다. 혜택 및 제외 사항의 전체 목록은 플랜 계약 문서를 참조하십시오.

Choice가 좋습니다. 여러분이 선택할 수 있는 옵션이 있습니다.

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ID 보호

Assist America ID Theft Protection의 사기 모니터링, 경고 및 해결 기능을 통해 안심하고 이용할 수 있습니다.

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건강 코칭

Providence 건강 코치가 더 건강하고 행복한 삶을 위한 여정을 지원합니다.

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Travel Assistance

집에서 100마일 이상 떨어진 지역으로 여행하거나 Assist America를 통해 해외 여행을 할 때 응급 의료 지원을 받으세요.

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LifeBalance

영화 시청부터 독특한 휴가 패키지로 저렴한 가격으로 여행을 떠나는 것까지 좋아하는 활동에 대한 할인을 받으십시오.

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One Pass Select™

One Pass Select™는 건강한 식사를 위한 식료품 배송과 함께 체육관 및 주문형 운동 프로그램에 대한 전국 네트워크에 쉽게 액세스할 수 있도록 해줍니다.

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