Standard plans

Standard plans can be purchased through the federal government’s Small Business Health Options Program (SHOP) Marketplace and in the private market. 

Standard plans offer:

  • Separate deductibles and out-of-pocket maximums in and out of the network
  • Copays starting as low as $20, and deductibles as low as $1,000
  • Provider choice in and out of the Providence Signature Network

Note: Employees with Standard plans do not have coverage for chiropractic manipulation, acupuncture, adult routine vision exams and vision hardware or pediatric dental services.

Eligible Oregon employers may purchase a SHOP-certified plan and take advantage of the IRS Small Business Health Care Tax Credit for 2019. Our Standard plans are all certified for SHOP. Dental plans are not available when purchasing plans through the SHOP marketplace. To find out more, ask your insurance producer.

Cost-sharing ranges for in-network benefits


PCP Copay Gold and Silver: $20 - $40
Bronze: Covered in full after deductible
Coinsurance Gold and Silver: 20% - 30% after deductible
Bronze: Covered in full after deductible
OOP Maximum $6,650 - $7,900
Deductible $1,000 - $6,550
Rx Preferred Generic Copay Gold and Silver: $10 - $15
Bronze: Covered in full after deductible
Rx Non-Preferred Generic Copay Gold and Silver: $10 - $15
Bronze: Covered in full after deductible
Rx Preferred Brand Copay
Gold and Silver: $30 - $60
Bronze: Covered in full after deductible
Rx Non-Preferred Brand Gold and Silver: 50%
Bronze: Covered in full after deductible
Rx Preferred Specialty Gold: 50% with a $500 per script cap
Silver: 50%
Bronze: Covered in full
Rx Non-Preferred Specialty Gold: 50% with a $500 per script cap
Silver: 50%
Bronze: Covered in full

Benefit highlights

View the plan details for all three Standard plan options.

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