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Khám phá và so sánh các chương trình bảo hiểm y tế năm 2025 đáp ứng nhu cầu của doanh nghiệp và nhân viên của quý vị.
Xem các chương trình năm 2024.

Total Enhanced

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

Nhận báo giá Xem tóm tắt quyền lợi

Balance

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

Nhận báo giá Xem tóm tắt quyền lợi

Choice

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

Nhận báo giá Xem tóm tắt quyền lợi

Connect

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

Nhận báo giá Xem tóm tắt quyền lợi

HSA Qualified

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

Nhận báo giá Xem tóm tắt quyền lợi

Standard

These plans take advantage of the national Providence Signature Network

Nhận báo giá Xem tóm tắt quyền lợi
  • Tổng Quan Chương Trình
    • 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 
  • Mạng Lưới Nhà Cung Cấp

    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

  • Quyền lợi

    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

  • Chương Trình Sức Khỏe và Hạnh Phúc

    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

  • HSA, HRA, và FSA tích hợp

    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

  • Xếp hạng sao

    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.

PDF tổng quan về chương trình năm 2025 - Sắp ra mắt  Tóm tắt Quyền lợi & Bảo hiểm


LƯU Ý:

Thông tin chương trình được liệt kê trong bảng so sánh này chỉ nhằm mục đích cung cấp thông tin tổng quan. Vui lòng tham khảo bản tóm tắt quyền lợi để biết thêm chi tiết. Một số hạn chế và trường hợp loại trừ quyền lợi được áp dụng cho các chương trình của chúng tôi. Để biết danh sách đầy đủ các quyền lợi và trường hợp loại trừ, vui lòng xem tài liệu hợp đồng của chương trình.

Choice là một lựa chọn tốt. Chúng tôi có các lựa chọn phù hợp với quý vị.

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LifeBalance

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Giới thiệu
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Tin tức Providence
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Tập trung vào cộng đồng
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