Balance plans

Balance plans offer a balance of cost-saving features and coverage for the services you use the most. The plans include:

  • Deductible waived for primary care, generic drugs, and lab and X-ray services. The only out-of-pocket expense for these is the copay, where applicable
  • A deductible that applies to the out-of-pocket maximum
  • Coverage for routine vision services, including glasses and contact lenses
  • Provider choice, in and out of the Providence Signature Network
  • Pediatric dental coverage and optional family dental coverage
  • Deductible waived for covered services needed to treat an accidental injury within 90 days of injury

Benefit summaries

View the plan details for all Balance plan options.

Cost-sharing ranges for in-network benefits

PPP Copay*  $15 - $50 
Coinsurance 20% - 50%
OOP Maximum $4,000 - $13,700
Deductible $1,000 - $13,600
Rx Generic Copay* $15 - $50
Rx Preferred Brand Copay* $45 - $95
Rx Non-Preferred Brand,
Specialty and Compound**
50%

* Deductible waived
** Deductible waived for Gold plan only