Columbia plans

Columbia plans combine a medical home model of care with a tailored provider network. Members select a medical home from our Providence Choice Network. The medical home model provides a team of health professionals dedicated to your overall well-being.

Columbia plans offer:

  • Access to specialists via referral from the medical home
  • No out-of-network benefits are included with this plan. You must use an in-network provider to receive benefits except for emergency and urgent care services.
  • Chiropractic manipulation, acupuncture and massage are covered in-network

Benefit summaries

View the plan details for our Columbia plan options.

Cost-sharing ranges for in-network benefits

PCP Copay*  $45 - $70
Coinsurance Gold plan: 20%
Silver plan: 35%
Bronze plan: Covered in full after the deductible is paid
OOP Maximum $6,000 - $16,300
Deductible $1,500 - $16,300
Rx Tier 1 Copay* Covered in full for all plans
Rx Tier 2* Gold plan: $10 copay
Silver plan: $20 copay
Bronze plan: $35
Rx Tier 3 Gold plan: $50 copay*
Silver plan: $75 copay*
Bronze plan: Covered in full after the deductible is paid
Rx Tier 4 Gold plan: 50%
Silver plan: 50%
Bronze plan: Covered in full after the deductible is paid
Rx Tier 5 Gold plan: 50% with a $200 per script cap
Silver plan: 50% with a $200 per script cap
Bronze plan: Covered in full after the deductible is paid
Rx Tier 6 Gold plan: 50%
Silver plan: 50%
Bronze plan: Covered in full after the deductible is paid

* Deductible waived

For more information

Contact us to learn more about Providence medical plans.

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