HSA Qualified plans

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HSA Qualified plans provide affordable coverage with a lower premium. With an HSA Qualified plan, paired with a tax-exempt health savings account, you save pre-tax dollars to pay for future health care expenses.

HSA Qualified plans offer:

  • Two networks, depending in the county where you live: Providence Choice Network and Providence Signature Network
    • Access to specialists via referral from the medical home for HSA Qualified plans on the Choice network. No referral needed for HSA Qualified plans on the Signature Network.
    • No out-of-network benefits are included with this plan. You must use an in-network provider to receive benefits
  • The option to add dental coverage with the Providence Progressive Dental plan, as long as you buy an HSA plan directly from Providence or through a producer
  • A preferred rate in a health savings account with HealthEquity®, a Providence Health Plan partner

Benefit summaries

View the plan details for the HSA Qualified plans.

Cost-sharing ranges for in-network benefits

PCP Copay Covered in full after deductible is paid
Coinsurance Covered in full after deductible is paid
OOP Maximum $6,650 - $13,300
Deductible $6,650 - $13,300
Rx Preferred Generic Copay Covered in full after deductible is paid
Rx Preferred Brand Covered in full after deductible is paid
Rx Preferred Specialty Covered in full after deductible is paid