Balance plans

Our Balance plans offer a harmonious mix of cost-saving features and coverage for the services your employees use the most.

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 and chiropractic manipulation and acupuncture
  • Deductibles waived in Gold and Silver plans for lab and X-ray, and all drug tiers except specialty
  • Fully covered Express Care Clinic and Express Care Virtual visits
  • 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

PCP Copay*  $25 - $60 
Coinsurance 20% - 50%
OOP Maximum $4,700 - $7,350
Deductible $750 - $7,350
Rx Preferred Generic Copay* $15 - $30
Rx Non-Preferred Generic Copay* $20 - $55
Rx Preferred Brand Copay* $50 - $75* (Gold and Silver); Covered in full after the deductible (Bronze)
Rx Non-Preferred Brand 50%* (Gold and Silver); Covered in full after the deductible (Bronze)
Rx Specialty 50% (Gold and Silver); Covered in full after the deductible (Bronze)

*Deductible waived

Benefit summaries

View the plan details for all six Balance plan options.

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