Total Enhanced plans

With the most robust level of coverage, our Total Enhanced plans offer your clients best-in-class benefits with full access to the Providence Signature Network for the ultimate flexibility.

Total Enhanced plans offer:

  • Rich benefits, with platinum, gold and silver options
  • The greatest cost predictability with low copays and deductible-waived benefits
  • Copays starting as low as $20, deductibles as low as $250 and out-of-pocket maximums as low as $3,500
  • Fully covered Express Care Clinic and Express Care Virtual visits
  • Deductibles waived for doctor and specialist visits, ER and urgent care, in-network lab and X-ray services, physical therapy and chiropractic manipulation and acupuncture
  • A combined deductible and out-of-pocket maximum
  • Deductible waived on all six pharmacy tiers
  • Lowest prescription drug copays and best adult vision coverage, including annual exams, lenses and hardware
  • Provider choice in and out of the Providence Signature Network
  • Pediatric dental coverage
  • Up to 15 combined chiropractic manipulation and acupuncture visits per year

Cost-sharing ranges for in-network benefits

PCP Copay*  $20 - $50 
Coinsurance 10% - 40%
OOP Maximum $3,500 - $7,900
Deductible $250 - $7,000
Rx Preferred Generic Copay* $10 - $15
Rx Non-Preferred Generic Copay* $15 - $25
Rx Preferred Brand Copay* $25 - $65
Rx Non-Preferred Brand* 30% - 40%
Preferred Rx Specialty* 50% with a $200 script cap
Non-preferred Rx Specialty* 50%
*Deductible waived

Benefit highlights 

View the plan details for all nine Total Enhanced plan options.

For more information

Contact us to learn more about Providence medical plans.

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