Connect plans
Connect plans combine a medical home model of care with a tailored provider network. Members choose a medical home from our Portland metro-area Providence Connect Network. The medical home model provides a team of health professionals dedicated to your overall well-being. Connect plans offer:
- More than 70 medical home clinics in the Portland metro area
- Access to specialists via referral from the medical home in order to receive coverage
- No out-of-network benefits are included with this plan. You must use an in-network provider to receive benefits
- A deductible that applies to the out-of-pocket maximum
- No deductible for in-network services on the Silver plan for doctor and specialist visits, lab and X-ray services and generic drugs
- Pediatric dental coverage and optional family dental coverage
Benefit summaries
View the plan details for these two Connect plan options.
Cost-sharing ranges for in-network benefits
| PCP Copay* |
$25 - $50 |
| Coinsurance |
30% |
| OOP Maximum |
$7,350 |
| Deductible |
$2,500 - $7,350 |
| 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