Core Advantages plans

With a Core Advantages plan, members enjoy robust benefits and first-dollar coverage for certain preventive and frequently used services, while offering some upfront premium savings. Members have full access to the national Providence Signature Network with the flexibility to see in- and out-of-network providers.

Plan features

  • Specialist visits without a referral
  • Predictable out-of-pocket costs through upfront coverage and low copay and coinsurance options
  • Plan designs with combined or separate in and out-of-network deductible and out-of-pocket maximums
  • In-network deductible waived for many services, including office visits, health exams, urgent care, diagnostic services, women’s health services, routine immunization and maternity prenatal care
  • In-network X-ray and lab services covered in full for the first $500 in a calendar year
  • Cost-sharing differential for services provided by specialists versus personal physician/provider, meaning out of pocket costs are higher for specialist keeping premiums manageable
  • Deductible applied to out-of-pocket maximum
  • Includes coverage for Providence Express Care Virtual, our Web-based health care service offering convenient video visits with your care provider on your smartphone, tablet or computer without an appointment

Plan design options

Copay  Coinsurance  OOP Maximum*
$3,500  $500
$4,000  $750 

$5,000 $1,000 

$6,350 $1,500  

$7,150 $2,000 

Example: $15 PPP/$25 specialist

* Individual amounts are shown. The family out-of-pocket maximum and family deductible are two times the individual amounts.

View benefit summaries for the Core Advantages health plan.

Workforce wellness included

The FitTogether™ suite of programs and services, including health coaching, encourage better health, greater productivity and a more engaged workforce.

Greater flexibility through pairing health plans

Providence's multi-plan option gives you the flexibility to offer your employees a choice of plans while ensuring your benefits package aligns with the needs of your business.

Value-added services and buy-up options

Rounding out these health plan benefits is your opportunity to seamlessly integrate other Providence services and benefits like pharmacy and vision or an HSA, HRA or FSA into the plan you offer.

For more information

Contact us to learn more about Providence medical plans or request a quote.

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