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 in-network on Silver plan for primary care, generic drugs, and lab, X-ray services and urgent care. The only out-of-pocket expense for these is the copay, where applicable
  • Deductible waived on the Silver plan for covered services needed to treat an accidental injury within 90 days of injury
  • 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

Benefit summaries

View the plan details for Balance plan options.

Cost-sharing ranges for in-network benefits

PPP Copay*  $25 - $50 
Coinsurance 30% - 50%
OOP Maximum $7,150 - $14,300
Deductible $2,500 - $7,150
Rx Preferred Generic Copay* $20 - $30
Rx Preferred Brand Silver plan: $75 copay* 
Bronze plan: Covered in full after deductible is paid
Rx Specialty Silver plan: 50%
Bronze plan: Covered in full after the deductible is paid

* Deductible waived