Choice plans

Choice plans utilize a medical home model that provides a team of health professionals dedicated to your overall well-being. Members select a medical home from the Providence Choice Network. The medical home team then works collaboratively to support all aspects of your health, from wellness and prevention to active management of chronic conditions. Choice plans offer:

  • More than 235 medical home clinics in Oregon and southwest Washington
  • Access to specialists and facilities via referral from the medical home in order to receive coverage at the in-network level
  • Deductibles waived for doctor and specialist visits, urgent care, lab and X-ray services, chiropractic manipulation and acupuncture, and generic and preferred brand-name drugs
  • Separate deductibles and out-of-pocket maximums in and out of the network
  • Pediatric dental coverage and optional family dental coverage
  • Adult vision coverage (exams and hardware)
  • Deductible waived for covered services needed to treat an accidental injury within 90 days of injury

Benefit summaries

View the plan details for all four Choice 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