Providence Statewide PPO Plan

Get more access with a larger network


The Providence Statewide PPO plan offers you an extensive network of over one million providers, specialists, and pharmacies nationwide. You'll also have access to the highest quality healthcare in the state of Oregon, through OHSU and Providence hospitals. To find in-network care near you, visit the provider directory.

Provider directory

What you pay for certain services

Providence Statewide PPO Plan
Medical
 Deductible (in-network) $250 individual; $750 family
Out-of-pocket maximum $1,900 individual; $5,700 family
Primary care 15% or 10% coinsurance for the first four visits per calendar year ($0 deductible)
Specialty care 15% coinsurance
Preventive services (in-network) No cost ($0 deductible)
Virtual visits (in-network) No cost ($0 deductible)
Massage therapy, chiropractic, and acupuncture 15% coinsurance (deductible waived)
Prescription Drugs
 Deductible $50 per person; $150 family
Out-of-pocket maximum $1,000 per person; $3000 family
Value drugs $0 copay
Generic drugs $10 copay
Specialty drugs $100 copay
90-day supplies Copay x2.5
Rx fertility No Rx fertility annual benefit maximum

For more coverage details, check out your benefit summary.

  • Plan features
    • Full access to the nationwide Providence Signature Network, with over one million providers, including OHSU and Providence hospitals
    • No specialist referral requirements
    • Wellness resources to help with chronic disease, stress, diet and exercise, sleep, and more
    • Coverage for medically necessary services when traveling internationally
    • Any amount paid toward your Providence plan deductible in October, November, and/or December 2025 is applied to your 2026 Providence plan deductible


    For more plan features, please refer to your PEBB Statewide Plan member handbook.

  • Save money on care with OHA-approved primary care clinics

    PEBB Statewide plan members can pay less out-of-pocket for certain health care services when care is received at an OHA-approved patient-centered primary care home, also referred to as a PCPCH (i.e., a health clinic recognized by the Oregon Health Authority for their commitment to quality, coordinated care).


    To find an OHA-approved patient-centered primary care home, visit the provider directory.


    You can update search filters to find an OHA-approved patient-centered primary care home that's right for you.
    Filter by:


    • Type/Specialty
    • Location
    • Language(s) spoken
    • Gender
    • Personal identity
    • Race and ethnicity
    • LGBTQ+, and more

    Tip: You can create a PDF of the listings by clicking on the "PDF" icon (found at the top right of search results).

  • Privacy disclosure

    We respect the privacy of your protected health information. Your health care is a personal matter, and we are committed to protecting your confidentiality. We may share your protected health information with others as part of your treatment, to provide payment for your treatment, or during our business operations. Learn more about how we protect your health information.

     

You're covered when you travel outside the country

Find answers to frequently asked questions about your benefits abroad.

Learn more
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