Balance plans

Our Balance plans offer a balance of cost-saving features and coverage for the services your employees use the most. With excellent benefits at an affordable premium, this classic plan design is straightforward but flexible. 

Balance plans offer:

  • A variety of deductible options and out-of-pocket maximums so you can select the plan and price point that fits within your budget
  • Separate deductibles and out-of-pocket maximums, in and out of the network
  • Deductibles waived for doctor and specialist visits, urgent care, lab and X-ray services, generic and preferred brand-name drugs, and chiropractic manipulation and acupuncture
  • Provider choice, in or out of the Providence Signature Network
  • Pediatric dental coverage
  • Adult vision coverage (exams and hardware)
  • Up to 10 combined chiropractic manipulation and acupuncture visits per year

Cost-sharing ranges for in-network benefits

PPP Copay*  $25 - $50 
Coinsurance 20% - 50%
OOP Maximum $4,000 - $6,850
Deductible $500 - $6,800
Rx Generic Copay* $15 - $45
Rx Preferred Brand Copay* $45 - $95
Rx Non-Preferred Brand 50% (Gold and Silver)*; 50% Bronze
Rx Specialty and Compound 40% - 50%

*Deductible waived

Benefit summaries

View the plan details for all six Balance plan options.

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