Standard plans

Defined by the state of Oregon, Standard plans can be purchased through the federal government's Small Business Health Options Program (SHOP) Marketplace and in the private market. 

Standard plans offer:

  • Separate deductibles and out-of-pocket maximums in and out of the network
  • Copays starting as low as $20, and deductibles as low as $1,000
  • Provider choice in and out of the Providence Signature Network

Note: Employees with Standard plans do not have coverage for chiropractic manipulation, acupuncture, adult routine vision exams and vision hardware or pediatric dental services.

To meet state requirements, the 2017 Standard Bronze will not be a qualified HSA plan. Groups can still offer a qualified HSA plan by choosing an HSA plan.

Eligible Oregon employers may purchase a SHOP-certified plan and take advantage of the IRS Small Business Health Care Tax Credit for 2017. Our Standard plans are all certified for SHOP. Dental plans are not available when purchasing plans through the SHOP marketplace. To find out more, contact your Providence Health Plan account executive.

Cost-sharing ranges for in-network benefits

PPP Copay $20 - $70 
Coinsurance 20% - 50%
OOP Maximum $6,850 - $7,150
Deductible $1,000 - $7,150
Rx Generic Copay* $10 - $35
Rx Preferred Brand Copay**
$30 - $50
Rx Non-Preferred Brand** 50%
Rx Specialty** 50%

*Deductible waived
**Deductible waived (Gold and Silver); covered in full after deductible is met (Bronze)

Benefit summaries

View the plan details for all three Standard plan options.

For more information

Contact us to learn more about Providence medical plans.

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