我们为您提供帮助。
了解和比较能够满足您的企业和员工需求的 2025 年健康计划。
查看 2024 年计划。
-
计划概述
- 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
-
提供者网络
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
-
福利
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
-
健康和保健计划
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
-
综合 hsa、hra 和 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
-
星级评定
注意：
本比较表中列出的计划信息仅供参考。具体详情请参阅福利摘要。我们的计划有一些福利限制和除外责任。有关福利和除外责任的完整清单，请参阅计划合同文件。
有选择是好事。我们有您应得的选择。
我们的计划提供一系列旨在支持您的员工的福利
ID 保护
Assist America Identity Theft Protection 提供欺诈监控、警告和解决方案，让您倍感安心。
健康指导
Providence 健康教练随时为您提供支持，助您享受更健康、更快乐的生活。
旅行援助
在离家 100 英里以上的旅行途中，或在国际旅行途中，可通过 Assist America 获得紧急医疗帮助。
LifeBalance
在您喜爱的活动中享受折扣优惠，比如看电影、通过独特的度假套餐低价出游等。
One Pass Select™
借助 One Pass Select™，您可以轻松访问全国健身房网络，根据自身需求锻炼身体，并享受健康饮食配送服务。