Take control of your healthcare benefits
with a self-funded plan
A self-funded plan may work better for your business. You pay claims as they arise, saving on fixed premiums and keeping cash in-house. Benefit from tax and fee savings, plan flexibility, and Providence Health Plan's award-winning provider network and trusted administration.
Make your money go farther
Every aspect of our self-funded offering is designed to help you get the most out of every healthcare dollar.
$24.8M RX savings
in 2024
Our pharmacy program features a lowest net-cost formulary (not rebate-driven) and transparent pricing with one simple fee (no hidden charges).
#1 in the region
managing top 5 chronic conditions
Our personalized Care Management program improves individual health outcomes by considering the holistic needs of each member.
$2.8M in therapy savings
in 2024
Our clinical management ensures all types of therapies are necessary, effective, and utilize in-network providers.
Stop-loss
that puts YOU in charge
We evaluate risks, leverage trusted partners, and secure the best rates and plans, without locking you into long contracts.
We are the network
We have best-in-class rates for Providence’s award-winning family of hospitals and clinics (including Swedish and Kadlec) and many more.
A relentless pursuit of better
We are always looking for ways to improve the Providence Health Plan experience for Members, and for the Employers who trust us with their teams.
Care beyond the basics
Our plans fill gaps in traditional coverage, offering one simple number to engage with behavioral health resources and support for high-risk fertility, maternity, disordered eating, and Transhealth needs.
Flexible plan design
We build your plan to your needs. We work with you to understand your workforce, find the right network fit, and prioritize the benefits that matter most.
Effortless admin
We deliver personalized service quickly and provide incomparable access to leadership throughout the Providence family to ensure that quality care is always within reach.
Best in the Pacific Northwest
100+ additional awards and recognitions
Our extensive network is made up of award-winning providers. This all leads to best-in-class care and member experience in the Pacific Northwest.
2024 People’s Choice Award
Best hospital in Pacific Northwest
The Seattle Times
2024 Silver Status Award
Jack Loacker Center for
Cardio-Oncology
(first time for an Oregon institution)
Five-Star Award for Cardiac Surgery
Providence Medical Center
(4 additional five-star awards)
We start with yes
We don’t believe in one size fits all.
We start with standard packaged programs, services, and tools in a self-funded agreement and work with you to add the right optional programs, services, and tools to tailor and enhance your plan to meet your unique needs and budget.
| Core offerings | Standard | Optional |
|---|---|---|
| Medical Claims Administration |  |
|
| Medical, Case, and Disease Management | |
|
| Behavioral Health Management | |
|
| Network Access & Management | |
|
| Pharmacy Benefit Management | |
|
| Member Support & Engagement | |
|
| Well-being Solutions | |
|
| Employer Reporting | |
|
| Regulatory Reporting | |
|
| Stop Loss | |
|
| Health Coaching | |
|
| Dental | |
|
| Integrated Savings Accounts | |
|
| Point Solution Integration | |
|
| Vision Administration | |
|
| HelpScript™ | |
|
| Rx Savings Solutions | |
SALES & ENROLLMENT SUPPORT
Need options? Got questions? We’ve got answers.
Sometimes connecting with a real person is the shortest path to a solution. Our sales team is here for you at:
503-574-5067 or 833-395-2043, Monday through Friday.
8 a.m. to 5 p.m. (Pacific Time).
Employer Hub
-
Tools and resources to help you manage your plan
Our Employer Hub is your one-stop resource for plan information, benefits management, or online payment of an invoice.
You’ll find:FAQs
Forms & Documents
Provider Directories
Benefit Summaries
Enrollment Management
Workplace Wellness Resources & Toolkits
Go to the Employer Hub