Choice plans

Choice plans utilize a medical home model that provides a team of health professionals dedicated to each member’s 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 a member’s 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

For more information

Contact us to learn more about Providence medical plans.

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